This year, 3 important issues were debated--
1) Can Exercise Substitute for Airway Clearance?
2) Which should be the first drug introduced to manage CF--Hypertonic Saline or Dornase Alfa (Pulmozyme)?
3) Should glucose intolerance be treated aggressively in CF, or not?
I love these debate sessions each year because they expose the wide range of opinions that exist among CF professionals regarding the "right" way to treat patients. Some people never question their Doc, because it is assumed that they always know best... These sessions help illustrate why CF care can vary so much from center to center! Feel free to put in your two cents on any of these topics in a comment!
Can Exercise Substitute for Airway Clearance?
Pro argument given by Dr.Cecilia Rodriguez Hortal.
For the purposes of this argument, Dr. Hortal suggests that vigorous exercise, with built in breaks for patients to "huff cough" and expectorate mucus, could be used as an alternative to regular airway clearance techniques, particularly in pediatric populations with milder lung disease. She discusses the success of the "Swedish model"--which utilizes exercise and specialized breathing techniques as a form of airway clearance. She also presents a few scientific studies showing the benefits of physical exercise on CF lung disease. Exercise has been proven to reduce the viscosity of mucus, improve airway hydration, increase cilia beat frequency in the airways, and reduce markers of inflammation.
|Dr. Anbar says that Pulmozyme interrupts the vicious cycle of infection, inflammation, and obstruction in two crucial ways.|