Open AccessSecretion management in patients with ineffective airway clearance with non-invasive mechanical ventilation use: Expert guidance for clinical practice
Author(s) -
Vijay Hadda,
Tejas M Suri,
Sourabh Pahuja,
Mohamad El-Khatib,
Laura Ciobanu,
Bruno Cabrita,
Habib Md Reazaul Karim,
Igor Barjaktarević,
Claudia Crimi,
Giancarlo Garuti,
Saurabh Mittal,
Pawan Tiwari,
Karan Madan,
Anant Mohan,
Zühal Karakurt,
António M. Esquinas
Publication year - 2021
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.196
H-Index - 46
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2021.1499
Subject(s) - medicine , intensive care medicine , airway management , airway , clinical practice , mechanical ventilation , ventilation (architecture) , anesthesia , physical therapy , mechanical engineering , engineering
Non-invasive ventilation (NIV) is a mainstay of management of chronic respiratory failure in many disorders which are known to cause abnormal airway secretion clearance. Currently, there is no guidance regarding either the secretion handling during NIV use or the role of NIV in secretion management in these patients. The aim of this document was to provide an overview of the various techniques available in the management of respiratory secretions and their use in conjunction with NIV. Literature search was performed using the keywords, “(secretion OR secretions) AND (noninvasive ventilation OR NIV)” on PubMed and EMBASE. The search yielded 1681 and 509 titles from PubMed and EMBASE, respectively. After screening, 19 articles were included in this review. Suggestions of the expert panel were formulated by mutual consensus after reviewing the relevant literature. The draft of the expert panel’s suggestions was circulated among all authors via electronic mail for comments. Any conflicts were resolved by mutual discussion to achieve agreement. The final document was approved by all. This document by the International Network for Airway Secretions Management in NIV describes various airway secretion clearance techniques. It provides the expert panel’s suggestions for the use of these techniques in conjunction with NIV for patients with muco-obstructive and neuromuscular disorders.