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https://ahro.austin.org.au/austinjspui/handle/1/17880| Title: | Airway clearance techniques in neuromuscular disorders: A state of the art review. | Austin Authors: | Chatwin, Michelle;Toussaint, Michel;Gonçalves, Miguel R;Sheers, Nicole ;Mellies, Uwe;Gonzales-Bermejo, Jesus;Sancho, Jesus;Fauroux, Brigitte;Andersen, Tiina;Hov, Brit;Nygren-Bonnier, Malin;Lacombe, Matthieu;Pernet, Kurt;Kampelmacher, Mike;Devaux, Christian;Kinnett, Kathy;Sheehan, Daniel;Rao, Fabrizio;Villanova, Marcello;Berlowitz, David J ;Morrow, Brenda M | Affiliation: | Academic and Clinical Department of Sleep and Breathing and NIHR Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, Sydney Street, London, UK Centre for Home Mechanical Ventilation and Specialized Centre for Neuromuscular Diseases, Inkendaal Rehabilitation Hospital, Vlezenbeek, Belgium Noninvasive Ventilatory Support Unit, Pulmonology Department, Emergency and Intensive Care Medicine Department, São João University Hospital, Faculty of Medicine, University of Porto, Portugal Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia Victorian Respiratory Support Service,Austin Health, Heidelberg, Victoria, Australia Departement of Pediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center Essen, University of Essen, Germany Sorbonne Université, UPMC Univ Paris 06, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), Paris, France Respiratory Care Unit, Respiratory Medicine Department, Hospital Clinico Universitario, Valencia, Institute of Health Research INCLIVA, Valencia, Spain Pediatric Noninvasive Ventilation and Sleep Unit, Necker University Hospital, Paris, Paris Descartes University, Paris Research Unit INSERM U 955, Team 13, Creteil, France Norwegian Centre of Excellence for Home Mechanical Ventilation, Thoracic Department and Department of Physiotherapy, Haukeland University Hospital, Bergen Norway, Department of Clinical Science, Medical Faculty, University of Bergen, Bergen, Norway Dept of Peadiatric Medicine, Oslo University Hospital, Oslo, Norway and Norwegian Centre of Excellence for Home Mechanical Ventilation, Haukeland University Hospital, Bergen, Norway Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Functional Area Occupational Therapy and Physiotherapy, Allied Health Professionals Function, Karolinska University Hospital, Stockholm, Sweden Adult Intensive Care Unit, Raymond Poincaré Hospital (AP-HP) Garches, France Home Ventilation Service, University Medical Centre Utrecht, Utrecht, The Netherlands Direction des Actions Médicales, Paramédicales et Psychologiques, Association Française Contre Les Myopathies-Téléthon, 91000 EVRY, France Parent Project Muscular Dystrophy, 401 Hackensack Ave 9th Floor, Hackensack, NJ 07601, United States Respiratory Unit, Neuromuscular OmniCentre (NeMO), Neurorehabilitation, University of Milan, Niguarda Hospital, Milan, Italy Neuromuscular Rehabilitation Unit, Nigrisoli Hospital, Viale Ercolani 7/b - 40125, Bologna, Italy Department of Paediatrics and Child Health, University of Cape Town, Klipfontein Rd, Rondebosch, Cape Town, South Africa Assisted Breathing Center, Women and Children's Hospital of Buffalo Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, United States |
Issue Date: | Mar-2018 | Date: | 2018-02-06 | Publication information: | Respiratory medicine 2018; 136: 98-110 | Abstract: | This is a unique state of the art review written by a group of 21 international recognized experts in the field that gathered during a meeting organized by the European Neuromuscular Centre (ENMC) in Naarden, March 2017. It systematically reports the entire evidence base for airway clearance techniques (ACTs) in both adults and children with neuromuscular disorders (NMD). We not only report randomised controlled trials, which in other systematic reviews conclude that there is a lack of evidence base to give an opinion, but also include case series and retrospective reviews of practice. For this review, we have classified ACTs as either proximal (cough augmentation) or peripheral (secretion mobilization). The review presents descriptions; standard definitions; the supporting evidence for and limitations of proximal and peripheral ACTs that are used in patients with NMD; as well as providing recommendations for objective measurements of efficacy, specifically for proximal ACTs. This state of the art review also highlights how ACTs may be adapted or modified for specific contexts (e.g. in people with bulbar insufficiency; children and infants) and recommends when and how each technique should be applied. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/17880 | DOI: | 10.1016/j.rmed.2018.01.012 | ORCID: | 0000-0003-2543-8722 | Journal: | Respiratory medicine | PubMed URL: | 29501255 | Type: | Journal Article | Subjects: | Homecare Neuromuscular disease Non-invasive ventilation Respiratory failure Tracheostomy |
| Appears in Collections: | Journal articles |
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