Dear Colleagues, Recently increased use of N-acetyl cysteine is seen as mucolytic to relieve mucus plugs causing the collapse of lung lobes. But it is mostly in bronchoscopic use.

What is the recommendation for use as nebulization in the pediatric age group in dosing and frequency and use with other additives like hypertonic saline and salbutamol nebulization to relieve symptoms as bronchoscopic guided removal of mucus plug may not be feasible in all settings due to lack of facilities?