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Mucus plugging with focal collapse

Educational use only. Not clinically reviewed

59-year-old woman for Bronchiectasis mucus-plugging and focal-collapse reassessment. About 9 simulated minutes.

What you will practise

  • Reconcile the authored baseline, secretion-clearance change, current breathing, perfusion, cough, and focal examination claims.
  • Review the fixed radiograph and CT pattern while keeping infection, blood, aspiration, foreign body, and occult obstruction open.
  • Record experienced respiratory-physiotherapy review and a supported, individualized airway-clearance trial.
  • After elapsed time, review the authored whole-patient, cough, secretion, oxygenation, and focal response.
  • Escalate persistent focal collapse and unresolved cause for experienced respiratory and airway-capable evaluation.
  • After elapsed time, hand off response, residual collapse, open causes, deterioration triggers, pending work, and named owners.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Chalmers JD, et al. European Respiratory Society clinical practice guideline for the management of adult bronchiectasis. Eur Respir J. 2025;66:2501126.
  • Herrero-Cortina B, Lee AL, Oliveira A, et al. European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis. Eur Respir J. 2023;62:2202053.
  • Hill AT, Sullivan AL, Chalmers JD, et al. British Thoracic Society guideline for bronchiectasis in adults. Thorax. 2019;74(Suppl 1):1-69.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.