Literature DB >> 17591224

Survey of use of the insufflator-exsufflator in patients with spinal cord injury.

James K Schmitt1, Steven Stiens, Rose Trincher, Mylam Lam, Mehdii Sarkarati, Steven Linder, Chester H Ho.   

Abstract

BACKGROUND/
OBJECTIVE: The insufflator-exsufflator has been shown to be effective in assisting cough in individuals with spinal cord injury. However, many institutions do not use this device. The study was performed to assess use of the device and attitudes among health care providers.
METHODS: We developed a questionnaire with 4 categories of questions: knowledge of the device, type of facility, clinical practice with the device, and patient and provider satisfaction. The questionnaire was mailed to members of the American Paraplegia Society.
RESULTS: Eighty-six questionnaires (16%) were returned. The device was being used in 49% of the institutions. The device was most commonly used with a tracheostomy; use did not correlate with size or type of facility. Patient and provider satisfaction with the insufflator-exsufflator was high.
CONCLUSIONS: The insufflator-exsufflator is used as a means of removal of secretions in approximately one half of institutions polled. Satisfaction with the device is high.

Entities:  

Mesh:

Year:  2007        PMID: 17591224      PMCID: PMC2031943          DOI: 10.1080/10790268.2007.11753923

Source DB:  PubMed          Journal:  J Spinal Cord Med        ISSN: 1079-0268            Impact factor:   1.985


  14 in total

1.  Study of the effectiveness of bronchial clearance in subjects with upper spinal cord injuries: examination of a rehabilitation programme involving mechanical insufflation and exsufflation.

Authors:  P Pillastrini; S Bordini; G Bazzocchi; G Belloni; M Menarini
Journal:  Spinal Cord       Date:  2005-12-13       Impact factor: 2.772

2.  Mechanical insufflation-exsufflation. Comparison of peak expiratory flows with manually assisted and unassisted coughing techniques.

Authors:  J R Bach
Journal:  Chest       Date:  1993-11       Impact factor: 9.410

Review 3.  Update and perspective on noninvasive respiratory muscle aids. Part 2: The expiratory aids.

Authors:  J R Bach
Journal:  Chest       Date:  1994-05       Impact factor: 9.410

4.  Ventilatory dysfunction and respiratory rehabilitation in post-traumatic quadriplegia.

Authors:  A C Huldtgren; A R Fugl-Meyer; E Jonasson; B Bake
Journal:  Eur J Respir Dis       Date:  1980-12

5.  Patient preference for in-exsufflation for secretion management with spinal cord injury.

Authors:  S V Garstang; S C Kirshblum; K E Wood
Journal:  J Spinal Cord Med       Date:  2000       Impact factor: 1.985

6.  Efficacy of mechanical insufflation-exsufflation in medically stable patients with amyotrophic lateral sclerosis.

Authors:  Jesús Sancho; Emilio Servera; Juan Díaz; Julio Marín
Journal:  Chest       Date:  2004-04       Impact factor: 9.410

7.  Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough.

Authors:  Laura J Miske; Eileen M Hickey; Susan M Kolb; Daniel J Weiner; Howard B Panitch
Journal:  Chest       Date:  2004-04       Impact factor: 9.410

8.  Pulmonary complications of acute spinal cord injuries.

Authors:  H D Reines; R C Harris
Journal:  Neurosurgery       Date:  1987-08       Impact factor: 4.654

9.  A comparison of long-term ventilatory support alternatives from the perspective of the patient and care giver.

Authors:  J R Bach
Journal:  Chest       Date:  1993-12       Impact factor: 9.410

10.  Effects of mechanical insufflation-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance.

Authors:  João C Winck; Miguel R Gonçalves; Cristina Lourenço; Paulo Viana; João Almeida; John R Bach
Journal:  Chest       Date:  2004-09       Impact factor: 9.410

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  5 in total

1.  Mechanical insufflation-exsufflation device prescription for outpatients with tetraplegia.

Authors:  James D Crew; Jelena N Svircev; Stephen P Burns
Journal:  J Spinal Cord Med       Date:  2010       Impact factor: 1.985

Review 2.  Physiotherapy secretion removal techniques in people with spinal cord injury: a systematic review.

Authors:  W Darlene Reid; Jennifer A Brown; Kristin J Konnyu; Jennifer M E Rurak; Brodie M Sakakibara
Journal:  J Spinal Cord Med       Date:  2010       Impact factor: 1.985

3.  Specialized respiratory management for acute cervical spinal cord injury:: a retrospective analysis.

Authors:  Sandra Lynn Wong; Kazuko Shem; James Crew
Journal:  Top Spinal Cord Inj Rehabil       Date:  2012

4.  Mechanical insufflation-exsufflation: Practice patterns among respiratory therapists in Ontario.

Authors:  Shelley Prevost; Dina Brooks; Phillip T Bwititi
Journal:  Can J Respir Ther       Date:  2015

Review 5.  Respiratory management in the patient with spinal cord injury.

Authors:  Rita Galeiras Vázquez; Pedro Rascado Sedes; Mónica Mourelo Fariña; Antonio Montoto Marqués; M Elena Ferreiro Velasco
Journal:  Biomed Res Int       Date:  2013-09-09       Impact factor: 3.411

  5 in total

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