Which method should the neonatal/pediatric specialist recommend for an 8-year-old child with cerebral atrophy to promote bronchial hygiene while delivering a bronchodilator?

The recommended method for promoting bronchial hygiene while delivering a bronchodilator in an 8-year-old child with cerebral atrophy is intrapulmonary percussive ventilation. This technique combines aerosol therapy with high-frequency chest wall oscillation. It serves two purposes: improving airway clearance through the mucociliary escalator system and enhancing the distribution of bronchodilators to the peripheral airways.

Intrapulmonary percussive ventilation is particularly beneficial for children with neuromuscular conditions, such as those experiencing cerebral atrophy, as these conditions often impair their ability to clear respiratory secretions effectively. The rapid pulses of air generated by this method can help to mobilize secretions, making it easier for the child to expectorate them or have them suctioned out, which is crucial for maintaining lung function and preventing complications like infections.

While other methods also aim to assist with bronchial hygiene, they may not align as closely with the needs of a child with compromised respiratory muscle function. For example, intermittent positive pressure breathing is more suitable for specific conditions requiring lung inflation support. The external chest wall percussive device provides percussion but may not be as effective in delivering aerosolized medications in conjunction with mechanical assistance. An in-exsufflator