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Nino G et al. – The authors present a case of an infant with OI and significant tracheobronchomalacia who had required multiple hospitalizations for recurrent atelectasis and respiratory failure in the setting of acute respiratory infections. External chest percussion and vibration were avoided because of the risk of rib fractures. intrapulmonary percussive ventilation was initiated during an acute illness with good effect, and continued successfully after discharge from hospital. The authors conclude that IPV represents a safe and effective alternative to airway clearance in infants with OI.

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