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A VAI with amyotrophic lateral sclerosis and a TT is unable to develop clear secretions from his airway.Which of the following should be considered to manage this patient's airway clearance problem?
1) Manual chest compression and TT suctioning
2) Autogenic drainage and postural drainage
3) Positive expiratory pressure
4) Mechanical insufflation-exsufflation (MI-E)
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