Table 2.
Taxonomy for airway clearance techniques.
| Objective | Method | Technique | Type | 
|---|---|---|---|
| Cough augmentation | Inspiratory assistance | Single or stacked-breath methods | Assisted inflation therapies (see below) | 
| Expiratory assistance | Manual | Manually assisted cough (MAC) | |
| Mechanical | ME of MI-E | ||
| Combined assistance | Manual | Inflation + MAC | |
| Mechanical | Mechanical insufflation-exsufflation device (MI-E) | ||
| Volume augmentation | Assisted inflation | Stacked-breath methods | Glossopharyngeal breathing | 
| LVR: manual resuscitation bag | |||
| LVR: VCV-NIV | |||
| Single-breath methods | Pressure-limited NIV | ||
| Inspiratory positive pressure breathing device (IPPB) | |||
| MI of MI-E | |||
| Sputum clearance | Peripheral ACT/sputum mobilising | Manual | Manual techniques (positioning, percussion, vibrations) | 
| Chest wall strapping | |||
| Mechanical | Intrapulmonary percussive ventilation | ||
| High frequency chest wall oscillation | |||
| Proximal ACT/cough augmentation | Inspiratory, expiratory, or combined methods | See above | 
MAC, manually assisted cough; ME, mechanical exsufflation; MI-E, mechanical insufflation-exsufflation; LVR, lung volume recruitment; NIV, non-invasive ventilation; VCV-NIV, volume-limited mode (i.e., volume-controlled ventilation) of non-invasive ventilation; IPPB, inspiratory positive pressure breathing; MI, mechanical insufflation.