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Non-invasive management of an acute chest infection for a patient with ALS
E Servera1, J Sancho, E Gómez-Merino
1Servicio de Neumología, Hospital Clínico Universitario and Universitat de València, Valencia, Spain. Emilio.Severa@uv.es
Abstract:
We describe a man diagnosed with non-bulbar amyotrophic lateral sclerosis (ALS) who uses 24-h non-invasive ventilator at home, and assisted cough through the use of the mechanical insufflation-exsufflation (MAC) device (CoughAssist, J.H. Emerson). This was essential for the removal of bronchial secretions in order to provide successful non-invasive management (and indeed less suffering for the patient) during an acute respiratory tract infection with hypoxemia and failure of manually assisted cough.
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