Alison ,
I agree...if it works for him why change it...also a hole in the lung is possible if the settings are too high with the cough assist...but it is also possible to get a hole in the lung from excessive coughing against the pressure of the vent without using a cough assist especially if the PEEP is to high....
Different pulmonologists may disagree with its use once a PALS is vented..but in Gary's case with his history they feel not using it at all presents a much greater risk...for PALS in mid to late stages who are not yet vented I feel the cough assist is a vital piece of equipment..and for many PALS even once they are...
Lisa