Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares

Cough is a natural reflex that protects respiratory airways against infections or mucus retention. Cough maintains an adequate cleaning of the airways and is a mainstay of respiratory therapy. It can be triggered voluntarily by the patient or by a specific cough device. Peak cough flow (PCF) is used...

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Autores principales:	Torres-Castro,Rodrigo, Monge,Gonzalo, Vera,Roberto, Puppo,Homero, Céspedes,Juan, Vilaró,Jordi
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Cough Forced expiratory flow rates Neuromuscular Diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200013
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spelling	oai:scielo:S0034-988720140002000132014-08-18Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromuscularesTorres-Castro,RodrigoMonge,GonzaloVera,RobertoPuppo,HomeroCéspedes,JuanVilaró,Jordi Cough Forced expiratory flow rates Neuromuscular Diseases Cough is a natural reflex that protects respiratory airways against infections or mucus retention. Cough maintains an adequate cleaning of the airways and is a mainstay of respiratory therapy. It can be triggered voluntarily by the patient or by a specific cough device. Peak cough flow (PCF) is used to assess the effectiveness of the cough. When this value is below 160 L/min, cough is considered inefficient and becomes a risk factor for respiratory problems. Patients with weak cough, especially those with neuromuscular disease, have in common a low tidal volume and a decreased maximum insufflation capacity. Both factors directly affect the inspiratory phase previous to cough, which is considered vital to obtain the optimum flow for a productive cough. Different therapeutic measures may help to increase cough efficiency among patients with cough weakness. These interventions may be performed using manual techniques or by mechanical devices. The aim of this review is to analyze the different techniques available for cough assistance, set a hierarchy of use and establish a scientific basis for their application in clinical practice.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.2 20142014-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200013es10.4067/S0034-98872014000200013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cough Forced expiratory flow rates Neuromuscular Diseases
spellingShingle	Cough Forced expiratory flow rates Neuromuscular Diseases Torres-Castro,Rodrigo Monge,Gonzalo Vera,Roberto Puppo,Homero Céspedes,Juan Vilaró,Jordi Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
description	Cough is a natural reflex that protects respiratory airways against infections or mucus retention. Cough maintains an adequate cleaning of the airways and is a mainstay of respiratory therapy. It can be triggered voluntarily by the patient or by a specific cough device. Peak cough flow (PCF) is used to assess the effectiveness of the cough. When this value is below 160 L/min, cough is considered inefficient and becomes a risk factor for respiratory problems. Patients with weak cough, especially those with neuromuscular disease, have in common a low tidal volume and a decreased maximum insufflation capacity. Both factors directly affect the inspiratory phase previous to cough, which is considered vital to obtain the optimum flow for a productive cough. Different therapeutic measures may help to increase cough efficiency among patients with cough weakness. These interventions may be performed using manual techniques or by mechanical devices. The aim of this review is to analyze the different techniques available for cough assistance, set a hierarchy of use and establish a scientific basis for their application in clinical practice.
author	Torres-Castro,Rodrigo Monge,Gonzalo Vera,Roberto Puppo,Homero Céspedes,Juan Vilaró,Jordi
author_facet	Torres-Castro,Rodrigo Monge,Gonzalo Vera,Roberto Puppo,Homero Céspedes,Juan Vilaró,Jordi
author_sort	Torres-Castro,Rodrigo
title	Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
title_short	Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
title_full	Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
title_fullStr	Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
title_full_unstemmed	Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
title_sort	estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200013
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Estrategias terapéuticas para aumentar la eficacia de la tos en pacientes con enfermedades neuromusculares

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