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Airway Clearance Guide 2026




Airway Clearance Guide

This document is intended to be a guide to airway clearance therapy. It is not a set of clinical practice guidelines, but rather a practical guide. With knowledge comes power. We hope that after reading these pages, respiratory therapists are empowered to skillfully apply airway clearance therapy to the right patient at the right time using the right approach. Airway clearance therapy might be overutilized in some settings. Armed with knowledge, respiratory therapists can contribute to the appropriate allocation of this therapy. Our intent is to help the respiratory therapist match the best therapy to the individual patient. Ultimately, we hope to improve patient outcomes through the respiratory therapist's knowledge.

The Airway Clearance Guide is a web-based course with PDF documents available for download. The course program also provides the flexibility to complete at your individual pace, wherever and whenever best fits your schedule.

Course Overview and Credit Information
Participants can earn 1.0 hour of Continuing Respiratory Care Education (CRCE) for each individual chapter completed.
Upon successful completion of all course modules (a total of 12 chapters), learners will receive a certificate of completion.
- Please note that this certificate denotes course completion only and does not represent a professional credential.

A score of 2 out of 3 on the post-chapter quizzes is required to receive credit.

The AARC produced educational course is sponsored by an education grant from the following organization:

Approved for 12.00 CRCE Hours.


SEMINAR OBJECTIVES

Describe airway clearance in health and disease.
Compare airway clearance issues related to abnormal secretions versus abnormal cough.
Describe the benefits of airway clearance therapy.
Describe approaches to airway clearance that do not require a device including indications, monitoring, and complications.
Compare the use of devices intended to loosen secretions including indications, monitoring, and complications.
Discuss the use of devices intended to improve cough including indications, monitoring, and complications.
Discuss pharmacologic approaches to airway clearance including indications, monitoring, and complications.
Assess the response to airway clearance therapy.
Describe how to determine the appropriate airway clearance therapy for an individual patient.
Discuss considerations of airway clearance therapy in pediatrics, in mechanically ventilated patients with an artificial airway, and in the home.


CHAPTERS

Chapter 1: Airway Clearance in Health


Speaker Information

Author: Dean Hess, PhD, RRT, FAARC


Chapter 10: Pediatric Considerations


Speaker Information

Author: Amanda Nickel, MSc, RRT, RRT-ACCS, RRT-NPS, FAARC


Chapter 11: Considerations in the Mechanically Ventilated Patient with an Artificial Airway


Speaker Information

Author: Dean Hess, PhD, RRT, FAARC


Chapter 12: Airway Clearance Therapy in the Home


Speaker Information

Author: Chrysalis Ashton, MSRC, RRT


Chapter 2: Airway Clearance Issues in Diseases with Abnormal Secretions


Speaker Information

Author: Daniel Fisher, MSc, RRT, RRT-ACCS, FAARC


Chapter 3: Airway Clearance Issues in Diseases with Ineffective Cough


Speaker Information

Author: Daniel Fisher, MSc, RRT, RRT-ACCS, FAARC


Chapter 4: Non-device Approaches to Airway Clearance


Speaker Information

Author: Daniel Fisher, MSc, RRT, RRT-ACCS, FAARC


Chapter 5: Devices to Loosen Secretions


Speaker Information

Author: Amanda Nickel, MSc, RRT, RRT-ACCS, RRT-NPS, FAARC


Chapter 6: Devices to Improve Cough


Speaker Information

Author: Christopher Piccuito, MSEd, RRT, RRT-ACCS, RRT-NPS


Chapter 7: Drugs that Affect Airway Secretions


Speaker Information

Author: Denise Willis, MSc, RRT, RRT-NPS, AE-C, FAARC


Chapter 8: How to Assess Response to Airway Clearance Therapy


Speaker Information

Author: Kellianne Fleming, MSc, RRT-ACCS, RRT-NPS, FAARC


Chapter 9: How to Select the Best approach for an Individual Patient


Speaker Information

Author: Kellianne Fleming, MSc, RRT-ACCS, RRT-NPS, FAARC