TABLE 1

Relative and absolute contraindications to the use of mechanical insufflation–exsufflation

Relative contraindicationsAbsolute contraindications
Application after mealsBulbous emphysema
Rapid increase in respiratory ratePneumothorax
Haemodynamic instabilityRecent barotrauma
Severe bronchospasm during the sessionNon-controlled asthma exacerbation
Severe chest wall painSevere hypotension
Significant pulmonary bleeding