Pediatric Reports (Oct 2017)

Free-Aspire: A new device for the management of airways clearance in patient with ineffective cough

  • Luca Bertelli,
  • Giovanni Di Nardo,
  • Salvatore Cazzato,
  • Giampaolo Ricci,
  • Andrea Pession

DOI
https://doi.org/10.4081/pr.2017.7270
Journal volume & issue
Vol. 9, no. 3

Abstract

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A 3-year-old girl with Spinal Muscular Atrophy type I presented with a right pneumonia. On physical examination pulmonary auscultation revealed an asymmetry of breath sounds between the 2 hemithoraces, owing to decreased breath sounds in the right hemithorax. Blood tests were normal. The initial working diagnosis was a suspected area of mucus accumulation. A treatment with Free Aspire was started. Within a few days, the girl was discharged with a normal physical examination and X-ray study result. Spinal Muscular Atrophy is a rare neuromuscular disorder characterized by loss of motor neurons and progressive muscle wasting. Cough in these patients result ineffective. Free-Aspire is an electromedical machine for removing bronchoalveolar secretions. The case show that Free Aspire in patients with ineffective cough and impaired removal of secretions is a safe and effective device for the removal of bronchial secretions and could be an another help in the management of airway clearance.

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