Cough-assist Machine

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Permalink Reply by ric mandanas on February 11, 2009 at 9:25am

what machine you are using?

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Permalink Reply by Paolo on February 11, 2009 at 2:16pm

Im talking about all the cough-assist machines in general sir.

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Permalink Reply by ric mandanas on February 12, 2009 at 8:28am

a local consultant trained in the U.S. and Canada got home and set up his practice holding high post in the pediatrics department. According to him he had exposure on this equipment during his training in North America so he want to bring it here for the locals. The hospital by his recommendation not only bought a machine but 5 in addition to our old insufflator. The consultant even ordered the pressure inspiration and expiration. (since the machine is new, we developed a protocol adapted to his order) in the beginning we (rts) got mixed concern about the therapy regimen. I agree with most that sometimes good CPT with suctioning is better than this treatment. We even got patient with this treatment on tracheostomy and using Bipap machine. I do not want to comment I just want to share to you our experience here.

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Permalink Reply by Chris on February 13, 2009 at 6:29am

You're not using it properly. The cough assist is a great machine for a person with a weak cough.

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Permalink Reply by Prem on February 13, 2009 at 2:14pm

Paolo Good Questions .I have asked Respironics to send across a Demo Machine.Will get back to you once i get to it.

RT wanted In Saudi.

Cheers.

Prem.

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Permalink Reply by Chris on February 14, 2009 at 1:49am

Another option would be the IPV machine, which is also good for secretion management. Suctioning works well, but causes trauma to the patient. If more than 1-2 times per day of NT suctioning is needed it will cause too much nasal trauma. I also use high humdity/flow nasal cannula at 40 lpm to help loosen the secretions in the larger airways. This allows the weak patient to raise secretions easier.

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