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Research ArticleOriginal Research

Cough Augmentation Techniques in the Critically Ill: A Canadian National Survey

Louise Rose, Neill K Adhikari, Joseph Poon, David Leasa and Douglas A McKim on behalf of the CANuVENT Group
Respiratory Care October 2016, 61 (10) 1360-1368; DOI: https://doi.org/10.4187/respcare.04775
Louise Rose
Sunnybrook Health Sciences Centre; the Lawrence S Bloomberg Faculty of Nursing, University of Toronto; the Provincial Centre of Weaning Excellence/Prolonged Ventilation Weaning Centre, Toronto East General Hospital; Mount Sinai Hospital; the Li Ka Shing Knowledge Institute, St. Michael's Hospital; and the West Park Healthcare Centre, Toronto, Ontario, Canada.
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  • For correspondence: [email protected]
Neill K Adhikari
Sunnybrook Health Sciences Centre, Interdivisional Department of Critical Care, University of Toronto, Toronto, Ontario, Canada.
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Joseph Poon
Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.
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David Leasa
Critical Care Western and London Health Sciences Centre and Western University, London, Ontario, Canada.
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Douglas A McKim
Ottawa Hospital Respiratory Rehabilitation Center, the Ottawa Hospital Sleep Centre, and the University of Ottawa, Ottawa, Ontario, Canada.
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    Fig. 1.

    Indications for cough augmentation techniques. MI-E = mechanical insufflation-exsufflation; MAC = manually assisted cough; LVR = lung volume recruitment; NIV = noninvasive ventilation.

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    Fig. 2.

    Patient diagnoses. NMD = neuromuscular disease; ICUAW = ICU-acquired weakness; ARF = acute respiratory failure; Secrections = any patient with reduced lung volumes and difficulty clearing secretions, regardless of diagnosis; Restrictive = restrictive chest wall disease; MI-E = mechanical insufflation-exsufflation; MAC = manually assisted cough; LVR = lung volume recruitment.

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    Fig. 3.

    Patient interfaces. ETT = endotracheal tube; MI-E = mechanical insufflation-exsufflation; LVR = lung volume recruitment.

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Respiratory Care: 61 (10)
Respiratory Care
Vol. 61, Issue 10
1 Oct 2016
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Cough Augmentation Techniques in the Critically Ill: A Canadian National Survey
Louise Rose, Neill K Adhikari, Joseph Poon, David Leasa, Douglas A McKim
Respiratory Care Oct 2016, 61 (10) 1360-1368; DOI: 10.4187/respcare.04775

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Cough Augmentation Techniques in the Critically Ill: A Canadian National Survey
Louise Rose, Neill K Adhikari, Joseph Poon, David Leasa, Douglas A McKim
Respiratory Care Oct 2016, 61 (10) 1360-1368; DOI: 10.4187/respcare.04775
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Keywords

  • cough augmentation
  • mechanical insufflation-exsufflation
  • acute respiratory failure
  • mechanical ventilation
  • intensive care

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