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AARC Clinical Practice Guideline

6.2.1 Very young patients and others with devel- opmental delays 6.2.2 Patients who are confused or delirious 6.2.3 Patients who are heavily sedated or comatose 6.4 Incentive spirometry is contraindicated in patients unable to deep breathe effectively due to pain, dia-phragmatic dysfunction, or opiate analgesia.5 6.5 Patients unable to generate adequate inspiration

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