Comparing the Effectiveness of Airway Clearance Techniques in Patients with Neuromuscular Disorders: A Comparative Study of Manual Cough Assist, Mechanical Insufflation-Exsufflation, and Suctioning

Authors: Ahmed A. Alanazi, Majed A. Alsahali, Hoda A. Khoutan, Ahmed A. Alenizi, Faisal G. Alenazi, Abdulaziz S. Alaws, Sultan H. Alhussini, Meshal S. Alrewaished

DOI: https://doi.org/10.5281/zenodo.13682369

Short DOI: https://doi.org/gt9jk6

Country: Saudi Arabia

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Abstract: Background: Patients with neuromuscular disorders often face significant challenges in airway clearance due to weakened respiratory muscles. Effective airway clearance is crucial to prevent respiratory complications, but the relative effectiveness of different techniques remains unclear.

Objective: This study compares the effectiveness of manual cough assist, mechanical insufflation-exsufflation (MI-E), and suctioning in improving respiratory function, reducing respiratory complications, and enhancing patient comfort in patients with neuromuscular disorders.

Methods: A randomized controlled trial was conducted with 180 patients who were assigned to one of three airway clearance techniques. Respiratory function, incidence of respiratory complications, patient comfort, and adverse events were assessed over a 12-month period.

Results: MI-E significantly improved peak cough flow and forced vital capacity compared to manual cough assist and suctioning. It also resulted in fewer respiratory infections and hospitalizations. However, manual cough assist was rated highest in patient comfort and ease of use. Suctioning was associated with the most adverse events, including discomfort and mucosal trauma.

Conclusion: MI-E is the most effective airway clearance technique for patients with neuromuscular disorders, though patient comfort should guide individualized treatment plans. Manual cough assist may be preferable for patients who prioritize comfort, while suctioning should be used with caution due to its associated risks.

Keywords: Neuromuscular disorders, airway clearance, manual cough assist, mechanical insufflation-exsufflation, suctioning, respiratory therapy

Paper Id: 231118

Published On: 2019-04-09

Published In: Volume 7, Issue 2, March-April 2019

Cite This: Comparing the Effectiveness of Airway Clearance Techniques in Patients with Neuromuscular Disorders: A Comparative Study of Manual Cough Assist, Mechanical Insufflation-Exsufflation, and Suctioning - Ahmed A. Alanazi, Majed A. Alsahali, Hoda A. Khoutan, Ahmed A. Alenizi, Faisal G. Alenazi, Abdulaziz S. Alaws, Sultan H. Alhussini, Meshal S. Alrewaished - IJIRMPS Volume 7, Issue 2, March-April 2019. DOI 10.5281/zenodo.13682369

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