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Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection

Duchenne muscular dystrophy (DMD) is an X‐linked recessive myopathy associated with progressive muscle weakness and wasting, loss of ambulation, respiratory insufficiency, weak cough, repeated respiratory infections, and ultimately death from respiratory failure in early adulthood. Mechanical insuff...

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Detalles Bibliográficos
Autores principales: Koenig, Emma, Singh, Bhajan, Wood, Jamie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5155671/
https://www.ncbi.nlm.nih.gov/pubmed/27999675
http://dx.doi.org/10.1002/rcr2.210
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author Koenig, Emma
Singh, Bhajan
Wood, Jamie
author_facet Koenig, Emma
Singh, Bhajan
Wood, Jamie
author_sort Koenig, Emma
collection PubMed
description Duchenne muscular dystrophy (DMD) is an X‐linked recessive myopathy associated with progressive muscle weakness and wasting, loss of ambulation, respiratory insufficiency, weak cough, repeated respiratory infections, and ultimately death from respiratory failure in early adulthood. Mechanical insufflation–exsufflation (MI‐E) devices, such as the CoughAssist®, are used in individuals with neuromuscular weakness to augment cough and help clear secretions; however, there is no consensus on the optimal treatment regimen. We present the challenging case of a patient with DMD admitted to a tertiary hospital with a severe lower respiratory infection, and discuss how MI‐E was used by physiotherapists to assist secretion clearance and prevent further deterioration.
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spelling pubmed-51556712016-12-20 Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection Koenig, Emma Singh, Bhajan Wood, Jamie Respirol Case Rep Case Reports Duchenne muscular dystrophy (DMD) is an X‐linked recessive myopathy associated with progressive muscle weakness and wasting, loss of ambulation, respiratory insufficiency, weak cough, repeated respiratory infections, and ultimately death from respiratory failure in early adulthood. Mechanical insufflation–exsufflation (MI‐E) devices, such as the CoughAssist®, are used in individuals with neuromuscular weakness to augment cough and help clear secretions; however, there is no consensus on the optimal treatment regimen. We present the challenging case of a patient with DMD admitted to a tertiary hospital with a severe lower respiratory infection, and discuss how MI‐E was used by physiotherapists to assist secretion clearance and prevent further deterioration. John Wiley & Sons, Ltd 2016-12-14 /pmc/articles/PMC5155671/ /pubmed/27999675 http://dx.doi.org/10.1002/rcr2.210 Text en © 2016 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Koenig, Emma
Singh, Bhajan
Wood, Jamie
Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title_full Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title_fullStr Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title_full_unstemmed Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title_short Mechanical insufflation–exsufflation for an individual with Duchenne muscular dystrophy and a lower respiratory infection
title_sort mechanical insufflation–exsufflation for an individual with duchenne muscular dystrophy and a lower respiratory infection
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5155671/
https://www.ncbi.nlm.nih.gov/pubmed/27999675
http://dx.doi.org/10.1002/rcr2.210
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