Acute lobar atelectasis: A comparison of five physiotherapy regimens

Stiller, Kathy; Jenkins, Sue; Grant, Ruth; Geake, Tim; Taylor, James; Hall, Bob

doi:10.3109/09593989609036437

Cited by 99 publications

(98 citation statements)

References 12 publications

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“…17,18 Each of 3 positions (prone, right-lateral decubitus, and left-lateral decubitus) was maintained for 10 min, and after each position the patient sat upright for 3 min of coughing.…”

Section: Chest Physical Therapymentioning

confidence: 99%

Safety and Efficacy of Short-Term Intrapulmonary Percussive Ventilation in Patients With Bronchiectasis

et al. 2011

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BACKGROUND: Treatment of bronchiectasis includes drugs, oxygen therapy, and bronchialclearance maneuvers. OBJECTIVE: To assess the safety and efficacy of intrapulmonary percussive ventilation (IPV) compared to traditional standard chest physical therapy in patients with bronchiectasis and productive cough. METHODS: In a randomized crossover study, 22 patients underwent, on consecutive days, IPV and chest physical therapy. Before each treatment session, immediately after the session, 30 min after the session, and 4 hours after the session we measured S pO 2 , heart rate, respiratory rate, and (with a visual analog scale) the patient's subjective sensation of phlegm encumbrance and dyspnea. Immediately after each treatment session we also measured (via visual analog scale) the patient's discomfort. We also measured the volume and wet and dry weight of collected sputum. RESULTS: No adverse effects were so severe as to require discontinuation of treatment, and the incidence of adverse effects was similar in the groups (27%). Heart rate (P ‫؍‬ .002) and respiratory rate (P ‫؍‬ .047) decreased during treatment, and sensation of phlegm encumbrance improved (P ‫؍‬ .03) with both treatments. Only IPV improved (P ‫؍‬ .004) the sensation of dyspnea. The patients found IPV more comfortable than our traditional standard chest physical therapy (P ‫؍‬ .03). Both treatments caused important phlegm production, but there were no differences in sputum volume, wet weight, or dry weight. CONCLUSIONS: In patients with bronchiectasis and productive cough, short-term IPV was as safe and effective as traditional chest physical therapy, with less discomfort.

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“…17,18 Each of 3 positions (prone, right-lateral decubitus, and left-lateral decubitus) was maintained for 10 min, and after each position the patient sat upright for 3 min of coughing.…”

Section: Chest Physical Therapymentioning

confidence: 99%

Safety and Efficacy of Short-Term Intrapulmonary Percussive Ventilation in Patients With Bronchiectasis

et al. 2011

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“…In a follow-up study done by Stiller in 1996 the researchers compared five physiotherapy regimens in the treatment of acute lobar atelectasis. The results suggested that modified postural drainage was an effective additional component to manual hyperinflation and suction performed hourly for 6 hours (Stiller et al, 1996). Because of the potential complications of persistent atelectasis, an aggressive approach to its treatment is advocated.…”

Section: Introductionmentioning

confidence: 99%

“…Patients in group 2 were treated with manual hyperinflation and suctioning alone. Although this study was restricted in patient numbers, the authors found that during the initial stages of acute lobar atelectasis, a basic physiotherapy treatment of manual hyperinflation and suctioning was enhanced by the addition of positioning and vibrations (Stiller et al, 1990). In a follow-up study done by Stiller in 1996 the researchers compared five physiotherapy regimens in the treatment of acute lobar atelectasis.…”

Section: Introductionmentioning

confidence: 99%

“…The effectiveness of manual hyperinflation as an adjunct to standard respiratory physiotherapy management of patients in the ICU to re-inflate collapsed lung regions, to improve gas exchange and respiratory compliance and to assist with the removal of secretions, have been proclaimed by numerous authors (Stiller et al, 1990;Rothen et al, 1993;Barker et al, 1994;Maxwell et al, 1998;McCarren et al, 1998;Hodgson et al, 2000;Berney et al, 2002). However, despite this evidence, to influence the delivered tidal volumes and pressures (Denehy, 1999).…”

Section: Introductionmentioning

confidence: 99%

“…In a study done by Stiller in 1990 was more effective than a simple physiotherapy treatment in resolving acute lobar atelectasis. Patients in group 1 received treatment incorporating positioning, vibrations, manual hyperinflation and suctioning.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effectiveness of manual hyperinflation during the physiotherapy management of acute atelectasis: a case report

Aswegen

Eales

2004

South African Journal of Physiotherapy

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Atelectasis is common in intubated and ventilated patients. Thereasons for the atelectasis are multifactorial. Atelectasis, if prolonged, may lead to hypoxaemia, pulmonary infection and fibrosis. The effectiveness of manual hyperinflation as an adjunct to standard respiratory physiotherapy management of patients in the ICU to re-inflate collapsed lung regions, to improve gas exchange and respiratory compliance and to assist with the removal of secretions, have been proclaimed by numerous authors. This case report demonstrates the effectiveness of the addition of manual hyperinflation to the physiotherapy management of an intubated patient with acute atelectasis.

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Chest physiotherapy for reducing respiratory morbidity in infants requiring ventilatory support

Hough

Flenady

Johnston

et al. 2008

Cochrane Database of Systematic Reviews

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Acute lobar atelectasis: A comparison of five physiotherapy regimens

Cited by 99 publications

References 12 publications

Safety and Efficacy of Short-Term Intrapulmonary Percussive Ventilation in Patients With Bronchiectasis

Safety and Efficacy of Short-Term Intrapulmonary Percussive Ventilation in Patients With Bronchiectasis

The effectiveness of manual hyperinflation during the physiotherapy management of acute atelectasis: a case report

Chest physiotherapy for reducing respiratory morbidity in infants requiring ventilatory support

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