Prise en charge respiratoire dans les maladies neuromusculaires, chez l'adulte et l'enfant : techniques spécifiques de désencombrement

Neuromuscular diseases cover a wide range of disorders that give rise to progressive muscular weakness. The combination of loss of respiratory muscle strength, ineffective cough and decreased ventilation leads to pneumonia, atelectasis, and respiratory insufficiency and failure. Assistance may be necessary to produce an increase in velocity of expiratory flow sufficient to mobilise secretions from smaller airways. Assisted coughing commonly refers to the combined techniques of manual or mechanical maximum insufflation strategies, with manually and/or mechanically assisted coughing. All these strategies in this client group are described in this article.