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Case ReportCase Reports

Acute Hypoxemia in a Child With Neurologic Impairment Associated With High-Frequency Chest-Wall Compression

Leah Denise Willis and Robert Hughes Warren
Respiratory Care August 2007, 52 (8) 1027-1029;
Leah Denise Willis
Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas, and with the Pulmonary Medicine Section, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
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Robert Hughes Warren
Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas, and with the Pulmonary Medicine Section, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
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Abstract

An 11-year-old child with cerebral palsy required hospital admission for respiratory distress following administration of high-frequency chest wall compression (HFCWC). The child had severe neurologic impairment and an ineffective cough effort. HFCWC is effective in treating cystic fibrosis, but its use has not been widely studied in other diagnoses. Although highly effective in mobilizing mucus, HFCWC does not assist in removing airway secretions. In the absence of an effective cough, additional devices or techniques may be required.

  • high-frequency chest wall compression
  • HFCWC
  • vest
  • cerebral palsy
  • cough

Footnotes

  • Correspondence: Leah Denise Willis RRT-NPS, Pulmonary Medicine Section, Arkansas Children's Hospital, 800 Marshall Street, Slot 512–17, Little Rock AR 72202. E-mail: willisdenisel{at}uams.edu.
  • Leah Denise Willis RRT-NPS presented a version of this paper at the Open Forum at the 51st International Respiratory Congress of the American Association for Respiratory Care, held December 3–6, 2005, in San Antonio, Texas.

  • The authors report no conflicts of interest related to the content of this paper.

  • Copyright © 2007 by Daedalus Enterprises Inc.
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Respiratory Care: 52 (8)
Respiratory Care
Vol. 52, Issue 8
1 Aug 2007
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Acute Hypoxemia in a Child With Neurologic Impairment Associated With High-Frequency Chest-Wall Compression
Leah Denise Willis, Robert Hughes Warren
Respiratory Care Aug 2007, 52 (8) 1027-1029;

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Acute Hypoxemia in a Child With Neurologic Impairment Associated With High-Frequency Chest-Wall Compression
Leah Denise Willis, Robert Hughes Warren
Respiratory Care Aug 2007, 52 (8) 1027-1029;
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  • high-frequency chest wall compression
  • HFCWC
  • vest
  • cerebral palsy
  • cough

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