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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
  • Luca Bertelli
    Department of Pediatrics, University of Bologna, S. Orsola-Malpighi Hospital, Italy | luca.bertelli80@gmail.com
  • Giovanni Di Nardo
    Pediatric Gastroenterology Unit, AORN Santobono-Pausilipon, Naples, Italy
  • Salvatore Cazzato
    Department of Mother and Child Health, Salesi Children’s Hospital, Ancona, Italy
  • Giampaolo Ricci
    Department of Pediatrics, University of Bologna, S. Orsola-Malpighi Hospital, Italy
  • Andrea Pession
    Department of Pediatrics, University of Bologna, S. Orsola-Malpighi Hospital, Italy

Abstract

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.

Keywords

Spinal Muscular Atrophy; pneumonia; Free Aspire; ineffective cough

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Submitted: 2017-06-17 10:20:40
Published: 2017-10-06 09:52:05
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Copyright (c) 2017 Luca Bertelli, Giovanni Di Nardo, Salvatore Cazzato, Giampaolo Ricci, Andrea Pession

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