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British Journal of Anaesthesia, 2002, Vol. 89, No. 4 644-647
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Postoperative use of a cough-assist device in avoiding prolonged intubation

W. A. Marchant and R. Fox*

The Royal National Orthopaedic Hospital Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK*Corresponding author

Postoperative management following major surgery in patients with neuromuscular disorders associated with scoliosis is frequently complicated by sputum retention and ventilatory failure. This report demonstrates the successful perioperative management of an 11-yr-old boy with type II spinal muscular atrophy undergoing a single-stage posterior spinal fusion procedure. Use of an MI-E device was able to successfully treat sputum retention and avoid a tracheostomy.

Br J Anaesth 2002; 89: 644–7


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