Guest guest Posted October 21, 2004 Report Share Posted October 21, 2004 Angie, We love it, it has saved Bretts life numerous times. Here is the website: http://www.jhemerson.com/coughassist.htm and description: CoughAssist In-Exsufflator We are pleased to introduce the CoughAssist Mechanical Insufflation-Exsufflation (MI-E) device. This latest version of the In-Exsufflator Cough Machine (aka Cofflator) is easy to use and features a sleek new design, quieter operation, an adjustable internal inhale-flow restrictor, a simpler breathing circuit and an optional mobile stand. Like its predecessor, the non-invasive CoughAssist safely and effectively clears retained broncho-pulmonary secretions, reducing the risk of respiratory complications. The CoughAssist achieves this by gradually applying a positive pressure to the airway, and then rapidly shifts to negative pressure. The rapid shift in pressure produces a high expiratory flow from the lungs, simulating a cough. This technique, referred to as " mechanical insufflation-exsufflation, " avoids airway damage while offering patients greater comfort and quality of life without the use of an invasive procedure. It has been proven effective for patients with an insufficient ability to cough due to Poliomyelitis, Muscular Dystrophy, Spinal Muscular Atrophy, Amyotrophic Lateral Sclerosis, Myasthenia Gravis, Guillain-Barre Syndrome, Multiple Sclerosis, or other neurological disorder with some paralysis of the respiratory muscles, such as spinal cord injury. a.. Indications for Use: Any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 3 liters per second), resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease, is a candidate for the CoughAssist. a.. Contraindications: Any patient with a history of bullous emphysema, known susceptibility to pneumothorax or pnuemo-mediastinum, or known to have had any recent barotrauma, should be carefully considered before use. The CoughAssist can be used with a facemask, mouthpiece or, with an adapter, to a patient's endotracheal or tracheostomy tube. This device can be used on adult and pediatric patients at home or in a hospital/institutional environment. Kristal Mom to Brett- SMA II- 4-1/2 years old " Life is 10% what happens to you and 90% how you respond to it. " ~anonymous Visit Brett's website at: http://www.our-sma-angels.com/brett/index.htm Cough Assist? Hi y'all, Would someone please tell me what a cough assist is? I've seen it mentioned several times, but I have no idea what it is, what it does or how it's used. It sounds like something I might need because I have a VERY hard time coughing up mucus......thanks, Angie __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2004 Report Share Posted October 21, 2004 I just started using the cough assist machine and I like it. What kinds of pressures do people on the list use to most effectively clear secretions? On 10/21/04 11:13 PM, " Kristal R. Koehler " <Brettsmom@...> wrote: > Angie, > We love it, it has saved Bretts life numerous times. > Here is the website: > http://www.jhemerson.com/coughassist.htm > > and description: > CoughAssist In-Exsufflator > We are pleased to introduce the CoughAssist Mechanical > Insufflation-Exsufflation (MI-E) device. This latest version of the > In-Exsufflator Cough Machine (aka Cofflator) is easy to use and features a > sleek new design, quieter operation, an adjustable internal inhale-flow > restrictor, a simpler breathing circuit and an optional mobile stand. > Like its predecessor, the non-invasive CoughAssist safely and effectively > clears retained broncho-pulmonary secretions, reducing the risk of respiratory > complications. The CoughAssist achieves this by gradually applying a positive > pressure to the airway, and then rapidly shifts to negative pressure. The > rapid shift in pressure produces a high expiratory flow from the lungs, > simulating a cough. > > This technique, referred to as " mechanical insufflation-exsufflation, " avoids > airway damage while offering patients greater comfort and quality of life > without the use of an invasive procedure. It has been proven effective for > patients with an insufficient ability to cough due to Poliomyelitis, Muscular > Dystrophy, Spinal Muscular Atrophy, Amyotrophic Lateral Sclerosis, Myasthenia > Gravis, Guillain-Barre Syndrome, Multiple Sclerosis, or other neurological > disorder with some paralysis of the respiratory muscles, such as spinal cord > injury. > > > a.. Indications for Use: Any patient unable to cough or clear secretions > effectively due to reduced peak cough expiratory flow (less than 3 liters per > second), resulting from high spinal cord injuries, neuromuscular deficits or > severe fatigue associated with intrinsic lung disease, is a candidate for the > CoughAssist. > > a.. Contraindications: Any patient with a history of bullous emphysema, > known susceptibility to pneumothorax or pnuemo-mediastinum, or known to have > had any recent barotrauma, should be carefully considered before use. > The CoughAssist can be used with a facemask, mouthpiece or, with an adapter, > to a patient's endotracheal or tracheostomy tube. This device can be used on > adult and pediatric patients at home or in a hospital/institutional > environment. > > Kristal > Mom to Brett- SMA II- 4-1/2 years old > " Life is 10% what happens to you and 90% how you respond to it. " ~anonymous > Visit Brett's website at: http://www.our-sma-angels.com/brett/index.htm > > Cough Assist? > > > > Hi y'all, > Would someone please tell me what a cough assist is? I've seen it mentioned > several times, but I have no idea what it is, what it does or how it's used. > It sounds like something I might need because I have a VERY hard time coughing > up mucus......thanks, Angie > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2004 Report Share Posted October 22, 2004 My son is almost 5 and we do +40/-40 and Dr. Bach says you should use +40/-40 minimum and we even go up to 50 if ill- which we are actually doing right now- since he is very ill. Hope this helps. Kristal Mom to Brett- SMA II- 4-1/2 years old " Life is 10% what happens to you and 90% how you respond to it. " ~anonymous Visit Brett's website at: http://www.our-sma-angels.com/brett/index.htm Cough Assist? > > > > Hi y'all, > Would someone please tell me what a cough assist is? I've seen it mentioned > several times, but I have no idea what it is, what it does or how it's used. > It sounds like something I might need because I have a VERY hard time coughing > up mucus......thanks, Angie > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2004 Report Share Posted October 22, 2004 Jordan likes the settings as high as possible. He's 15 years old and says it's more effective that way. He's pretty much used it that way since the age of 8, but I'm not sure settings that high are for everyone. Bach could help. Jay Re: Cough Assist? I just started using the cough assist machine and I like it. What kinds of pressures do people on the list use to most effectively clear secretions? On 10/21/04 11:13 PM, " Kristal R. Koehler " <Brettsmom@...> wrote: > Angie, > We love it, it has saved Bretts life numerous times. > Here is the website: > http://www.jhemerson.com/coughassist.htm <http://www.jhemerson.com/coughassist.htm> > > and description: > CoughAssist In-Exsufflator > We are pleased to introduce the CoughAssist Mechanical > Insufflation-Exsufflation (MI-E) device. This latest version of the > In-Exsufflator Cough Machine (aka Cofflator) is easy to use and features a > sleek new design, quieter operation, an adjustable internal inhale-flow > restrictor, a simpler breathing circuit and an optional mobile stand. > Like its predecessor, the non-invasive CoughAssist safely and effectively > clears retained broncho-pulmonary secretions, reducing the risk of respiratory > complications. The CoughAssist achieves this by gradually applying a positive > pressure to the airway, and then rapidly shifts to negative pressure. The > rapid shift in pressure produces a high expiratory flow from the lungs, > simulating a cough. > > This technique, referred to as " mechanical insufflation-exsufflation, " avoids > airway damage while offering patients greater comfort and quality of life > without the use of an invasive procedure. It has been proven effective for > patients with an insufficient ability to cough due to Poliomyelitis, Muscular > Dystrophy, Spinal Muscular Atrophy, Amyotrophic Lateral Sclerosis, Myasthenia > Gravis, Guillain-Barre Syndrome, Multiple Sclerosis, or other neurological > disorder with some paralysis of the respiratory muscles, such as spinal cord > injury. > > > a.. Indications for Use: Any patient unable to cough or clear secretions > effectively due to reduced peak cough expiratory flow (less than 3 liters per > second), resulting from high spinal cord injuries, neuromuscular deficits or > severe fatigue associated with intrinsic lung disease, is a candidate for the > CoughAssist. > > a.. Contraindications: Any patient with a history of bullous emphysema, > known susceptibility to pneumothorax or pnuemo-mediastinum, or known to have > had any recent barotrauma, should be carefully considered before use. > The CoughAssist can be used with a facemask, mouthpiece or, with an adapter, > to a patient's endotracheal or tracheostomy tube. This device can be used on > adult and pediatric patients at home or in a hospital/institutional > environment. > > Kristal > Mom to Brett- SMA II- 4-1/2 years old > " Life is 10% what happens to you and 90% how you respond to it. " ~anonymous > Visit Brett's website at: http://www.our-sma-angels.com/brett/index.htm <http://www.our-sma-angels.com/brett/index.htm> > > Cough Assist? > > > > Hi y'all, > Would someone please tell me what a cough assist is? I've seen it mentioned > several times, but I have no idea what it is, what it does or how it's used. > It sounds like something I might need because I have a VERY hard time coughing > up mucus......thanks, Angie > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
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