Secretion management in the mechanically ventilated patient

Purpose: the aim of this work is to highlight the importance of a correct management of the secretions in the patient submitted to mechanical ventilation (MV). Methods: analysis of the current bibliography related to respiratory infections and secretion in patients with mechanically ventilation. We focus on the use of in-ex suflator achine (cough machine) associated with High Frequency Chest Wall Oscillation (HFCWO). Results: we observe a reduction of pulmonary infection and a better management of bronchial secretion in patient undergone to the use of in-ex suflator machine (cough machine) associated with High Frequency Chest Wall Oscillation (HFCWO). Conclusions: the correct approach to patients submitted to mechanical ventilation (MV) expect the use of High Frequency Chest Wall Oscillation (HFCWO) (VEST) and in-ex suflator machine (cough machine) to decrease pulmonary infection thank to a reduction of permanence of bronchial secretions in the lungs.