Cochrane Database of Systematic Reviews 2015
DOI: 10.1002/14651858.cd011833
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Cough augmentation techniques for extubation and weaning critically ill patients from mechanical ventilation

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Cited by 14 publications
(23 citation statements)
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“…A Similar Articles search uses an algorithm to detect similar articles to a source study rather than identifying citing or cited articles . In addition to Van Mens et al, we serendipitously identified a small number of reviews that reported using Similar Articles search or equivalent searches in other databases . However, because we were not systematically searching for this search method, it may have been reported more widely in the sample.…”
Section: Resultsmentioning
confidence: 99%
“…A Similar Articles search uses an algorithm to detect similar articles to a source study rather than identifying citing or cited articles . In addition to Van Mens et al, we serendipitously identified a small number of reviews that reported using Similar Articles search or equivalent searches in other databases . However, because we were not systematically searching for this search method, it may have been reported more widely in the sample.…”
Section: Resultsmentioning
confidence: 99%
“…10,[22][23][24] Nevertheless, a Canadian survey reported that there is a moderate adoption of cough augmentation techniques, and a lack of expertise and knowledge are the potentially modifiable barriers addressed with educational interventions. 22 With regard to weaning from mechanical ventilation, Rose et al 16 reported that cough augmentation techniques when used in critically ill mechanically ventilated subjects seemed to result in fewer adverse events; however, the quality of evidence was low. The randomized trial of Gonçalves et al 9 evaluated the use of MI-E associated with noninvasive ventilation protocol used in 75 subjects dependent on mechanical ventilation for Ն48 h after extubation (MI-E plus noninvasive ventilation [35 subjects], noninvasive ventilation alone [40 subjects]).…”
Section: Discussionmentioning
confidence: 99%
“…8 The active cough maneuver is not essential when MI-E is used in the invasive interfaces (orotracheal tube or tracheostomy) because the device can create an artificial cough, even in patients who are sedated or unconscious. [9][10][11][12][13][14][15] Despite the promising results of MI-E use in neuromuscular subjects, 16,17 use of MI-E in patients who are acutely critical is uncommon, although it is a safe technique, given that the inspiratory positive pressure during the insufflation can provide ventilatory support. In this sense, our study aimed to evaluate the efficacy of MI-E on airway mucus clearance among general ICU subjects receiving mechanical ventilation.…”
Section: See the Related Editorial On Page 1577mentioning
confidence: 99%
“…A recent Cochrane review [127] of cough augmentation techniques for extubation/weaning from mechanical ventilation identified only three trials for inclusion. The authors concluded that the role of cough augmentation techniques in prevention of extubation failure is unclear and additional robust research, including understanding intervention safety and intensity, is essential.…”
Section: Take-home Messagesmentioning
confidence: 99%