Finally, we should keep in mind that the clinical view always needs to be integrated in the decision-making process, and that the recommended safe strategy of exsufflation
or chest tube insertion (6) may not be able to be used in these exceptional situations.
In SPLS groups, the median EBL and the anal exsufflation
time were significantly less than those of the conventional group (5 ml vs.
Prevention of gas leak must be kept in mind at all times and exsufflation
through the trocar valve before removing the trocars are essential.
Arterial blood gas analysis done prior to insufflation, 15 minutes after insufflation and 15 minutes after exsufflation
showed that respiratory rate and PaCO2 were maintained within physiological limits.
Ferrigno, "A fluoroscopic and laryngoscopic study of glossopharyngeal insufflation and exsufflation
," Respiratory Physiology and Neurobiology, vol.
Hill's argument in "When God Blew Satan out of Heaven: The Motif of Exsufflation
in Vercelli Homily XIX and Later English Literature," Leeds Studies in English n.s.