{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T16:58:34Z","timestamp":1784912314243,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>A 25\u2010year\u2010old male with Duchenne muscular dystrophy and a 73\u2010year\u2010old male with motor neurone disease both presented with chest pain and increasing dyspnoea following routine mechanical insufflation\u2010exsufflation or lung volume recruitment, on a background of long\u2010term non\u2010invasive ventilation. In each case, chest radiograph revealed a pneumothorax. In both cases the pneumothorax fully resolved following insertion of an intercostal catheter. There was no immediate recurrence and the patients were discharged home and ceased ongoing prophylactic respiratory therapy, although one person had recurrent pneumothoraces subsequently. This rare but serious complication highlights the need for careful risk\/benefit analysis by clinicians prescribing these therapies.<\/jats:p>","DOI":"10.1002\/rcr2.447","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T13:39:36Z","timestamp":1560433176000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Pneumothorax in neuromuscular disease associated with lung volume recruitment and mechanical insufflation\u2010exsufflation"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-5995","authenticated-orcid":false,"given":"Luke Andrew","family":"McDonald","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2543-8722","authenticated-orcid":false,"given":"David John","family":"Berlowitz","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Institute for Breathing and Sleep  Heidelberg Victoria Australia"},{"name":"Department of Physiotherapy The University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Erskine","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Institute for Breathing and Sleep  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Rautela","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Sheers","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Victoria Australia"},{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Victoria Australia"},{"name":"Institute for Breathing and Sleep  Heidelberg Victoria Australia"},{"name":"Department of Physiotherapy The University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13431"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2018.01.012"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04033"},{"key":"e_1_2_5_5_1","first-page":"1473","article-title":"The addition of mechanical insufflation\/exsufflation shortens airway\u2010clearance sessions in neuromuscular patients with chest infection","volume":"54","author":"Chatwin M","year":"2009","journal-title":"Respir. 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