A patient with a neuromuscular disorder who is breathing through an intact upper airway is receiving external (vest) oscillation to help mobilize secretions into the large airways, but is having difficulty clearing them. Which of the following techniques would you recommend to facilitate clearance of this patient secretions?
A. postural drainage, percussion and vibration
B. mechanical insufflation-exsufflation
C. positive expiratory pressure (PEP) therapy
D. acetylcysteine (Mucomyst) via aerosol
Ans: B. mechanical insufflation-exsufflation
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