S5 Ep91: Clear the Air on Airway Clearance

Airway clearance in pediatric patients, particularly those with neuromuscular weakness or cystic fibrosis, is explored, emphasizing the importance of airflow for mucus movement. Dr. Ina St. Onge, a pediatric pulmonologist, highlights various non-pharmacologic methods such as suctioning, positive expiratory pressure devices, and cough assist machines, alongside pharmacologic treatments like bronchodilators and mucolytics. The discussion covers the appropriate use of hypertonic saline and the caution against using Dornase Alpha outside of CF patients. The significance of addressing chronic pulmonary aspiration and tailoring airway clearance regimens to individual patient needs, considering factors like disease progression and available resources, is also underscored.