Cough assist: Cough augmentation techniques and MI-E (or cough assist) in mechanically ventilated patients

Activity: Talk or presentationOral presentationProfessional


1.Aim and objectives:
Patients requiring mechanical ventilation often retain airway secretions, which may occlude small airways and contribute to weaning failure. Under normal airway conditions, cough is the dominant airway clearance mechanism. In mechanically ventilated patients, presence of the endotracheal tube prevents normal closing of the glottis and depressed levels of consciousness interfere with an adequate cough reflex. Common airway care interventions are lung volume recruitment and manual hyperinflation (MH). Another strategy to create an artificial cough is Mechanical Insufflation- Exsufflation (MI-E). MI-E is a common treatment for patients with neuromuscular diseases and requiring ventilation in the home. MI-E can be used in the ICU as part of airway care and the weaning process.
In this workshop, we propose to present the current evidence, demonstrate the use of the MI-E, and exchange knowledge and ideas regarding which type of patients might best benefit, and possible barriers and facilitators to using MI-E in mechanically ventilated ICU patients.

2.Workshop content
Review cough mechanisms, airway patency and current evidence for cough augmentation techniques specifically MI-E.
Technical aspects of using MI-E in mechanically ventilated patients.
Exchange current practices and barriers and facilitators to airway care interventions.

3.Workshop agenda
3 minIntroduction
30 min Background MI-E: technical principles and current evidence
20 minInstruction of use MI-E and try-out your self
30 minIn 4 subgroups discuss current practice and perceived barriers/facilitators of each airway care intervention
15 minSummary of European practice by participants
5 minTake home message and closing

4.Interactive aspects expected by the participants:
Interactive hands on with the MI-E.
Sharing current practice and perceived barriers and facilitators in airway care interventions in ICU.
Period15 Feb 2019
Event titleEfCCNa congress Ljubljana
Event typeConference
LocationLjubljana, SloveniaShow on map
Degree of RecognitionInternational