RT Journal Article
SR Electronic
T1 Upper Airway Assessment and Responses during Mechanically Assisted Cough - A Narrative Review
JF Respiratory Care
FD American Association for Respiratory Care
SP respcare.08960
DO 10.4187/respcare.08960
A1 Andersen, Tiina M.
A1 Hov, Brit
A1 Halvorsen, Thomas
A1 Drange Røksund, Ola
A1 Vollsæter, Maria
YR 2021
UL http://rc.rcjournal.com/content/early/2021/02/12/respcare.08960.abstract
AB When ability to cough is impaired, secretion clearance may be assisted and augmented by Mechanical Insufflation-Exsufflation (MI-E). In some individuals, the efficacy of MI-E may be hampered by counterproductive upper airway reactions, where the airways close in response to positive pressures. In order to fully utilize the therapeutic potential inherent in the MI-E technology, we need a better understanding of the pathophysiology behind these untoward reactions. There is an increasing interest in monitoring and measuring upper airway responses to MI-E, and how such information can be used to optimize the MI-E settings. The purpose of this narrative review is to increase the theoretical understanding of larynx as a respiratory organ, summarize the current literature in the area, and provide insight into how this knowledge can affect current clinical practice.