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Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC Inward chest wall movement with inspiration and outward movement with expiration as a results of ventilation muscle fatigue. Dr. Alfred Sacchetti @SacchettiAlfred #Paradoxic #Breathing #Respiratory #Distress #Paradoxical #Pediatrics #Peds #clinical #Video #Pulmonary #PhysicalExam #Pattern #Croup