Open AccessFree-Aspire: A New Device for the Management of Airways Clearance in Patient With Ineffective Cough
Author(s) -
Luca Bertelli,
Giovanni Di Nardo,
Salvatore Cazzato,
Giampaolo Ricci,
Andrea Pession
Publication year - 2017
Publication title -
pediatric reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.297
H-Index - 19
ISSN - 2036-7503
DOI - 10.4081/pr.2017.7270
Subject(s) - medicine , auscultation , wasting , physical examination , airway , atrophy , muscle atrophy , bronchoalveolar lavage , muscle spasm , mucus , anesthesia , lung , intensive care medicine , surgery , cardiology , ecology , biology
A 3-year-old girl with Spinal Muscular Atrophy type I presented with a right pneumonia. On physical examination pulmonary auscultation revealed an asymmetry of breath sounds between the 2 hemithoraces, owing to decreased breath sounds in the right hemithorax. Blood tests were normal. The initial working diagnosis was a suspected area of mucus accumulation. A treatment with Free Aspire was started. Within a few days, the girl was discharged with a normal physical examination and X-ray study result. Spinal Muscular Atrophy is a rare neuromuscular disorder characterized by loss of motor neurons and progressive muscle wasting. Cough in these patients result ineffective. Free-Aspire is an electromedical machine for removing bronchoalveolar secretions. The case show that Free Aspire in patients with ineffective cough and impaired removal of secretions is a safe and effective device for the removal of bronchial secretions and could be an another help in the management of airway clearance
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