Do you favor aggressive airway clearance regimens or bronchoscopy for clearing occluding mucous plugs in patients who are not in respiratory distress?  

The first step is to determine the cause of the secretion issue. Is this acute or chronic? The underlying disorder that predisposes to abnormal mucus or ineffective cough? How much difficulty is this creating with ventilation and or oxygenation (ir level of urgency?). Since there is no respiratory d...