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Acute Hypoxemia in a Child With Neurologic Impairment Associated With High-Frequency Chest-Wall Compression

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Abstract:

An 11-year-old child with cerebral palsy required hospital admission for respiratory distress following administration of high-frequency chest wall compression (HFCWC). The child had severe neurologic impairment and an ineffective cough effort. HFCWC is effective in treating cystic fibrosis, but its use has not been widely studied in other diagnoses. Although highly effective in mobilizing mucus, HFCWC does not assist in removing airway secretions. In the absence of an effective cough, additional devices or techniques may be required.

Keywords: CEREBRAL PALSY; COUGH; HFCWC; HIGH-FREQUENCY CHEST WALL COMPRESSION; VEST

Document Type: Case Report

Affiliations: Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas; Pulmonary Medicine Section, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Publication date: August 1, 2007

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