RT Journal Article
SR Electronic
T1 Upper Airway Assessment and Responses During Mechanically Assisted Cough
JF Respiratory Care
FD American Association for Respiratory Care
SP 1196
OP 1213
DO 10.4187/respcare.08960
VO 66
IS 7
A1 Tiina M Andersen
A1 Brit Hov
A1 Thomas Halvorsen
A1 Ola Drange Røksund
A1 Maria Vollsæter
YR 2021
UL http://rc.rcjournal.com/content/66/7/1196.abstract
AB When the ability to cough is impaired, secretion clearance may be assisted and augmented with 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. 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 increasing interest in monitoring and measuring upper airway responses to MI-E and how such information can be used to optimize MI-E settings. The purpose of this narrative review is to increase the theoretical understanding of the larynx as a respiratory organ, summarize the current literature in the area, and provide insight into how this knowledge can affect current clinical practice.