The DOI matches its Crossref record; 127 of the 127 references it cites were found in a registry or an index.
Airway clearance techniques in neuromuscular disorders: A state of the art review
Open accessAbstract
This is a unique state of the art review written by a group of 21 international recognized experts in the field that gathered during a meeting organized by the European Neuromuscular Centre (ENMC) in Naarden, March 2017. It systematically reports the entire evidence base for airway clearance techniques (ACTs) in both adults and children with neuromuscular disorders (NMD). We not only report randomised controlled trials, which in other systematic reviews conclude that there is a lack of evidence base to give an opinion, but also include case series and retrospective reviews of practice. For this review, we have classified ACTs as either proximal (cough augmentation) or peripheral (secretion mobilization). The review presents descriptions; standard definitions; the supporting evidence for and limitations of proximal and peripheral ACTs that are used in patients with NMD; as well as providing recommendations for objective measurements of efficacy, specifically for proximal ACTs. This state of the art review also highlights how ACTs may be adapted or modified for specific contexts (e.g. in people with bulbar insufficiency; children and infants) and recommends when and how each technique should be applied.
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“As shown by Chatwin, normal trans tracheal suctioning with a catheter is not completely effective in more than 90% of cases and thus peripheral secretions are not removed [52].”
From Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19 (2023) · cites this paper as [52]
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Cites
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ATS/ERS Statement on Respiratory Muscle Testing
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Eagle, M., Baudouin, S., Chandler, C., Giddings, D. R., Bullock, R., & Bushby, K. M. D. (2002) · Neuromuscular Disorders · doi:10.1016/s0960-8966(02)00140-2 · Cited by 1,006
Respiratory Care of the Patient with Duchenne Muscular Dystrophy
Finder, J. D., Birnkrant, D. J., Carl, J. C., Farber, H. J., Gozal, D., Iannaccone, S. T., Kovesi, T. A., Kravitz, R. M., Panitch, H. B., Schramm, C. M., et al. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200307-885st · Cited by 726
Criteria for Extubation and Tracheostomy Tube Removal for Patients With Ventilatory Failure
Bach, J. R., & Saporito, L. (1996) · CHEST Journal · doi:10.1378/chest.110.6.1566 · Cited by 580
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Bach, J. R., Ishikawa, Y., & Kim, H. (1997) · CHEST Journal · doi:10.1378/chest.112.4.1024 · Cited by 528
Mechanical Insufflation-Exsufflation
Bach, J. R. (1993) · CHEST Journal · doi:10.1378/chest.104.5.1553 · Cited by 454
Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient
Bott, J., Blumenthal, S., Buxton, M., Ellum, S., Falconer, C., Garrod, R., Harvey, A., Hughes, T., Lincoln, M., Mikelsons, C., et al. (2009) · Thorax · doi:10.1136/thx.2008.110726 · Cited by 451
Hull, J., Aniapravan, R., Chan, E., Chatwin, M., Forton, J. T., Gallagher, J., Gibson, N., Gordon, J., Hughes, I., McCulloch, R., et al. (2012) · Thorax · doi:10.1136/thoraxjnl-2012-201964 · Cited by 392
Self-citationCough augmentation with mechanical insufflation/exsufflation in patients with neuromuscular weakness
Chatwin, M., Ross, E. T., Hart, N., Nickol, A. H., Polkey, M. I., & Simonds, A. K. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00048102 · Cited by 388
Self-citation
Research works printed but not linked: 2
- Dail, 1951, 'Glossopharyngeal breathing' by paralysed patients, California Medcine, 75, 217
- AARC Clinical Practice Guidelines, 2010, Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010, Respir. Care, 55, 758
Cited by
Sorted by citations
Respiratory Management of Patients With Neuromuscular Weakness
Khan, A., Frazer-Green, L., Amin, R., Wolfe, L. F., Faulkner, G. G., II, Casey, K. R., Sharma, G. D., Selim, B. J., Zielinski, D., Aboussouan, L. S., et al. (2023) · CHEST Journal · doi:10.1016/j.chest.2023.03.011 · Cited by 144
Airway Clearance Techniques: The Right Choice for the Right Patient
Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.544826 · Cited by 111
“There are precise guidelines on the use of cough assist treatment in patients with NMD (45), while it has not been found to be very effective in patients with COPD (46).”
BackgroundBTS clinical statement on aspiration pneumonia
Simpson, A. J., Allen, J.-L., Chatwin, M., Crawford, H., Elverson, J., Ewan, V. C., Forton, J. T., McMullan, R., Plevris, J. N., Renton, K., et al. (2023) · Thorax · doi:10.1136/thorax-2022-219699 · Cited by 110
Self-citationChatwin, M., & Simonds, A. K. (2019) · Respiratory Care · doi:10.4187/respcare.06882 · Cited by 93
Self-citationNIV in amyotrophic lateral sclerosis: The ‘when’ and ‘how’ of the matter
Morélot‐Panzini, C., Bruneteau, G., & Gonzalez‐Bermejo, J. (2019) · Respirology · doi:10.1111/resp.13525 · Cited by 89
Metadata
- Authors
- Chatwin, M., Toussaint, M., Gonçalves, M. R., Sheers, N., Mellies, U., Gonzales-Bermejo, J., Sancho, J., Fauroux, B., Andersen, T., Hov, B., Nygren-Bonnier, M., Lacombe, M., Pernet, K., Kampelmacher, M., Devaux, C., Kinnett, K., Sheehan, D., Rao, F., Villanova, M., Berlowitz, D., & Morrow, B. M.
- Affiliations
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- Universidade do Porto (PT)
- Institute for Breathing and Sleep (AU)
- University of Duisburg-Essen (DE)
- Hôpital Necker-Enfants Malades (FR)
- Haukeland University Hospital (NO)
- Oslo University Hospital (NO)
- Assistance Publique – Hôpitaux de Paris (FR)
- University Medical Center Utrecht (NL)
- Association Francaise contre les Myopathies (FR)
- Women & Children's Hospital of Buffalo (US)
- University of Milan (IT)
- University of Cape Town (ZA)
- Corresponding author
- Chatwin, Michelle
- ORCID
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 136
- Pages
- 98-110
- ISSN
- 0954-6111 (ISSN-L)
- OpenAlex
- W2791843842
- Cited by
- 325
- References
- 127
- Citations by year
- 2026: 31 · 2025: 45 · 2024: 45 · 2023: 58 · 2022: 45 · 2021: 35 · 2020: 29 · 2019: 26 · 2018: 11
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
- Funders
- NIHR Respiratory Disease Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London
- “Investissement d’Avenir” ANR-10-AIHU 06 of the French Government
- ResMed via the Royal Brompton Hospital
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- airway clearance techniques, neuromuscular disorders, cough augmentation, secretion mobilization, infants and children, evidence base
- MeSH terms
- Inhalation, Cough, Humans, Lung Volume Measurements, Mucociliary Clearance, Neuromuscular Diseases, Respiration, Artificial, Respiratory Insufficiency, Respiratory Muscles
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