Что такое mechanical in exsufflator
exsufflation
Смотреть что такое «exsufflation» в других словарях:
Exsufflation — is a strongly forced expiration of air from the lungs. Airway secretions can be cleared with manual and mechanical exsufflation. Mechanical insufflation exsufflation devices (also known as In Exsufflator, Cofflator, and cough machine) alternate… … Wikipedia
exsufflation — [ɛksyflɑsjɔ̃] n. f. ÉTYM. Déb. XVIIe; exsufflacion, XVIe; rare av. 1891, Huysmans; bas lat. exsufflatio, de exsufflare, de ex, et sufflare. → Souffler. ❖ ♦ Didactique. 1 (XVIe). Action de chasser en soufflant. || Exorcisme par exsufflation … Encyclopédie Universelle
Exsufflation — Ex suf*fla tion, n. [Cf. LL. exsufflatio.] 1. A blast from beneath. [Obs.] Bacon. [1913 Webster] 2. (Eccles.) A kind of exorcism by blowing with the breath. Jer. Taylor. [1913 Webster] 3. (Physiol.) A strongly forced expiration of air from the… … The Collaborative International Dictionary of English
exsufflation — n. the forcible removal of secretions from the air passages by some form of suction apparatus. * * * ex·suf·fla·tion (ek″sə flaґshən) [ex + L. sufflatio a blowing up] the act of removing the air from a cavity by artificial or… … Medical dictionary
exsufflation — (èk su ffla sion) s. f. Action de chasser en soufflant. • Dès son commencement, elle [l Église] a montré par ses exorcismes et par ses exsufflations, qu elle connaissait le péché originel dans les petits enfants, BOSSUET Var. 1re instr. past. § … Dictionnaire de la Langue Française d’Émile Littré
exsufflation — ex·suf·fla·tion … English syllables
exsufflation — n. the forcible removal of secretions from the air passages by some form of suction apparatus … The new mediacal dictionary
ЭКССУФЛЯЦИЯ — (exsufflation) принудительное удаление секрета из дыхательных путей с помощью специального отсоса … Толковый словарь по медицине
Insufflation — (Latin insufflatio blowing on or into ) is the practice of inhaling substances into a body cavity. Insufflation has limited medical use, but is a common route of administration with many respiratory drugs used to treat conditions in the lungs… … Wikipedia
Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough
Affiliation
Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough
Authors
Affiliation
Abstract
Background: Impaired cough secondary to weakness from neuromuscular disease (NMD) can cause serious respiratory complications, including atelectasis, pneumonia, small airway obstruction, and acidosis. The mechanical in-exsufflator (MI-E) delivers a positive-pressure insufflation followed by an expulsive exsufflation, thereby simulating a normal cough. Use of the MI-E in adults with impaired cough results in improved cough flows and enhanced airway clearance. However, only limited reports of MI-E use in children exist.
Objective: To determine the safety, tolerance, and effectiveness of the MI-E in a pediatric population.
Method: Retrospective medical record review.
Participants: Sixty-two patients (34 male patients) observed in a pediatric pulmonary program with NMD and impaired cough in whom MI-E therapy was initiated. Median age at initiation of MI-E use was 11.3 years (range, 3 months to 28.6 years). Diagnoses included the following: Duchenne muscular dystrophy (17 patients); spinal muscular atrophy, types I and II (21 patients); myopathy (12 patients); other nonspecific NMD (12 patients). Mechanical ventilation via tracheostomy was used in 29 patients, and 25 patients used noninvasive ventilation.
Results: The median duration of use was 13.4 months (range, 0.5 to 45.5 months). One infant died before using MI-E at home. Five patients chose not to continue MI-E therapy. Complications were reported in two patients, but ultimately they used the MI-E device. Chronic atelectasis resolved in four patients after beginning MI-E therapy, and five patients experienced a reduction in the frequency of pneumonias.
Conclusion: In 90% of our study population, the use of an MI-E was safe, well-tolerated, and effective in preventing pulmonary complications.
Accuracy of Peak Cough Flow Measurements Using a Mechanical Insufflator-exsufflator
Accuracy of Peak Cough Flow Measurements Using a Mechanical Insufflator-exsufflator in Patients With Neuromuscular Disease: A Single Centre Prospective Observational Study
The primary aim of this study is to evaluate the agreement of MIE devices measurement of MIE assisted peak cough flow (PCF) compared with a pneumotachographs during usual MIE care. This will be the first study to do this through range of MIE pressures and include patients who are receiving MIE via a tracheostomy. It will also aim to evaluate the intra-subject repeatability of measures for patients who receive more than one MIE cycle as part of their usual care. It will be the first to measure MIE assisted PCF contemporaneously during intervention using the gold standard pneumotachograph. This will inform treatment effect size and the efficacy of usual practice MIE in augmenting PCF measurements above critical cut off values for effective cough and secretion clearance. Finally the study will also aim to understand how patients perceive the impact of MIE in clearing secretions from their chest by asking them to rate presence of chest secretions pre and post intervention using a visual analogue scale (VAS)
| Мера | Временное ограничение |
| Agreement of Peak Cough Flow between MIE and pneumotachograph. | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
| Мера | Временное ограничение |
| Visual Analogue Scale | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
| Treatment effect size of PCF during usual MIE care | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
| Exploratory analysis of MIE Pressure and PCF | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
| Exploratory analysis of MIE inspiratory Volume and PCF | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
| Intra-subject variance of repeated PCF measures | Data will be collected at the point of recruitment to the study and then be reported within 1 year |
Тип вмешательства: Device
Описание: This device augments a cough by applying a positive pressure via the upper airway or tracheostomy to increase lung volume to maximal inspiratory capacity, followed by a rapid and quick change to negative pressure to increase expiratory flow and simulate normal cough mechanism
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См. также в других словарях:
exsufflator — ex·suf·fla·tor (ek″sə flaґtər) an apparatus that produces sudden negative pressure in order to reproduce in the bronchial tree the effects of a natural, vigorous cough … Medical dictionary
Exsufflation — is a strongly forced expiration of air from the lungs. Airway secretions can be cleared with manual and mechanical exsufflation. Mechanical insufflation exsufflation devices (also known as In Exsufflator, Cofflator, and cough machine) alternate… … Wikipedia
John Haven Emerson — John Haven Jack Emerson (February 5, 1906 – February 4, 1997) was an American inventor of biomedical devices, specializing in respiratory equipment. He is perhaps best remembered for his work in improving the iron lung.Early lifeEmerson was born… … Wikipedia
exsufflation — n. the forcible removal of secretions from the air passages by some form of suction apparatus. * * * ex·suf·fla·tion (ek″sə flaґshən) [ex + L. sufflatio a blowing up] the act of removing the air from a cavity by artificial or… … Medical dictionary
mechanical cough — expulsion of air from the lungs produced by use of an exsufflator, with effects similar to those of a natural cough … Medical dictionary
exsufflation
Смотреть что такое «exsufflation» в других словарях:
Exsufflation — is a strongly forced expiration of air from the lungs. Airway secretions can be cleared with manual and mechanical exsufflation. Mechanical insufflation exsufflation devices (also known as In Exsufflator, Cofflator, and cough machine) alternate… … Wikipedia
exsufflation — [ɛksyflɑsjɔ̃] n. f. ÉTYM. Déb. XVIIe; exsufflacion, XVIe; rare av. 1891, Huysmans; bas lat. exsufflatio, de exsufflare, de ex, et sufflare. → Souffler. ❖ ♦ Didactique. 1 (XVIe). Action de chasser en soufflant. || Exorcisme par exsufflation … Encyclopédie Universelle
Exsufflation — Ex suf*fla tion, n. [Cf. LL. exsufflatio.] 1. A blast from beneath. [Obs.] Bacon. [1913 Webster] 2. (Eccles.) A kind of exorcism by blowing with the breath. Jer. Taylor. [1913 Webster] 3. (Physiol.) A strongly forced expiration of air from the… … The Collaborative International Dictionary of English
exsufflation — n. the forcible removal of secretions from the air passages by some form of suction apparatus. * * * ex·suf·fla·tion (ek″sə flaґshən) [ex + L. sufflatio a blowing up] the act of removing the air from a cavity by artificial or… … Medical dictionary
exsufflation — (èk su ffla sion) s. f. Action de chasser en soufflant. • Dès son commencement, elle [l Église] a montré par ses exorcismes et par ses exsufflations, qu elle connaissait le péché originel dans les petits enfants, BOSSUET Var. 1re instr. past. § … Dictionnaire de la Langue Française d’Émile Littré
exsufflation — ex·suf·fla·tion … English syllables
exsufflation — n. the forcible removal of secretions from the air passages by some form of suction apparatus … The new mediacal dictionary
ЭКССУФЛЯЦИЯ — (exsufflation) принудительное удаление секрета из дыхательных путей с помощью специального отсоса … Толковый словарь по медицине
Insufflation — (Latin insufflatio blowing on or into ) is the practice of inhaling substances into a body cavity. Insufflation has limited medical use, but is a common route of administration with many respiratory drugs used to treat conditions in the lungs… … Wikipedia