
Hiren Mazumdar
Pediatric pulmonologist and sleep medicine physician; Director of the Pediatric Sleep Evaluation Center and Fellowship Director of Pediatric Pulmonology at UPMC Children's Hospital of Pittsburgh, and Professor of Pediatrics at the University of Pittsburgh.
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Sep 26, 2026
Normal Saline Nebulization - Good idea, Bad idea or Indifferent?
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Hiren MuzumdarGUEST
So in that category, you would have patients with, say, Duchenne muscular dystrophy, patients with spinal muscular atrophy, where you might have to not only give them chest PT and saline nebulization, but you might have to help them mobilize their secretions with cough assist devices.

Hiren MuzumdarGUEST
But at the end of the day, I think what the point that you raised previously What if I'm in a smaller hospital that I don't have access to experts? I think this is one of the places where our basic instinct as clinicians is very meaningful.

Hiren MuzumdarGUEST
If I see that my patient has a lot of secretions, if I hear that they have a lot of secretions pulled at the back of their throat, if I see that they have atlactasis on the x-ray, if I see they have hypoxemia and I'm not sure and they have secretions, I think I would be fairly remiss if I did not advocate for saline chest PT and suctioning with or without cough assist devices as appropriate.

Hiren MuzumdarGUEST
I think it's important to understand that neurologically affected children are a diverse population.

Hiren MuzumdarGUEST
There's actually a very recent publication from Cincinnati Children's Hospital by Dr. Thompson.
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