Efficacy and Tolerance Study on the Use of the In-exsufflator in the Hospitalized Elderly

Launched by UNIVERSITY HOSPITAL, CLERMONT-FERRAND · Oct 11, 2021

Keywords

ClinConnect Summary

Background: One of the most frequent reasons for hospital admission of older adults are respiratory disorders. Physiological aging processes decrease respiratory muscle strength and can reduce the efficacity of cough. The mechanical in-exsufflator (MI-E) is a medical device used to help coughing. Studies have shown positive results in helping airway clearance in children and adults with neuromuscular pathologies however there is lack of evidence in older populations. This study's aim is to evaluate the feasibility of the MI-E in older adults. The hypothesis is that the use of MI-E in older ...

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Eligibility criteria

• Inclusion Criteria:
• • patient hospitalize in Intensive Care Unit or Pulmonary Unit,
• • having airway clearance problem associated with mucus hypersecretion,
• • peak expiratory flow (PEF) \<280 l/min,
• • medical indication for respiratory physical therapy.
• Exclusion Criteria:
• • contraindication to use of MI-E device (ex. bronchospasm, immediate follow-up to surgery of airway system, chest or abdominal region, untreated pneumothorax, hemodynamic failure, etc.),
• • refuse to participate,
• • pregnant,
• • breastfeeding,
• • insufficient cognitive status.