• Pediatric pulmonology · Jun 2019

    Review

    Aerosolized agents for airway clearance in cystic fibrosis.

    • Kevin W Southern, John P Clancy, and Sarath Ranganathan.
    • Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.
    • Pediatr. Pulmonol. 2019 Jun 1; 54 (6): 858-864.

    AbstractThe outlook for people with cystic fibrosis (CF) has improved considerably as a result of conventional therapies including aerosolized agents for airway clearance. These will continue to play a significant role in maintaining well-being and improving survival, even as newer agents emerge that correct the underlying CF defect. In this review, we explore the evidence supporting the use of dornase alfa, hypertonic saline, and mannitol in improving mucus clearance in patients with CF from different age groups with differing disease severity. We also discuss the clinical use of these agents in the context of available international guidelines as well as practical considerations in the clinic, highlighting the importance of a multidisciplinary approach and shared decision-making. Unanswered questions regarding the optimal use of these agents are highlighted.© 2019 Wiley Periodicals, Inc.

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