A physician asks you to suggest an airway clearance technique or device to use for a patient with neuromuscular weakness who is unable to cough effectively.Which of the following should you suggest?

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Quizplus · Accepted Answer

Gravity is not a primary mechanism for normal mucociliary transport.Conventional CPT results in significantly greater expectoration than no treatment in patients with cystic fibrosis.However,there is no proven benefit to adding postural drainage to CPT to patients with ineffective cough.An insufflation-exsufflation (cough Assist)device inflates the lungs with positive pressure followed by a negative pressure to simulate a cough.The primary application has been in patients with neurologic muscular weakness unable to cough unassisted.The ACB technique involves a combination of breathing control (relaxed diaphragmatic breathing),thoracic expansion control (deep breaths),and forced expiration from progressively increasing lung volumes.

A Physician Asks You to Suggest an Airway Clearance Technique