Evaluation of chest percussion in the treatment of patients with copious sputum production

Gallon, Alison

doi:10.1016/s0954-6111(06)80209-x

Cited by 62 publications

(22 citation statements)

References 9 publications

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“…Tracheobronchial clearance (measured by labelling bronchial secretions with an inhaled radioaerosol), however, was unaffected by the addition of chest percussion with or without deep breathing. Chest wall percussion, when used with postural drainage, does not adversely affect oxygen saturation,239 241 heart rate241 or pulmonary function239 in non-CF-related bronchiectasis.…”

Section: Section 4 Non-cystic Fibrosis-related Bronchiectasismentioning

confidence: 95%

“…In one small controlled cohort crossover trial, the addition of all types of chest percussion in random order to postural drainage and the FET, in patients with copious sputum production,239 significantly increased the rate, but not the volume, of sputum production, compared with no percussion. The order of effect was greatest for fast double-handed percussion and least for slow single-handed percussion.…”

Section: Section 4 Non-cystic Fibrosis-related Bronchiectasismentioning

confidence: 99%

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Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient

Bott¹,

Blumenthal²,

Buxton³

et al. 2009

Thorax

381

283

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Section: Section 4 Non-cystic Fibrosis-related Bronchiectasismentioning

confidence: 95%

Section: Section 4 Non-cystic Fibrosis-related Bronchiectasismentioning

confidence: 99%

Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient

Bott¹,

Blumenthal²,

Buxton³

et al. 2009

Thorax

381

283

View full text Add to dashboard Cite

“…CAMPBELL et al [25] and WOLLMER et al [26] demonstrated an increase in airflow obstruction when chest clapping was included in an airway clearance regimen, but other studies have not shown any increase [27,28]. Chest clapping has also been shown to cause an increase in hypoxaemia [29,30], but, when short periods of chest clapping (<30 s) have been combined with three or four thoracic expansion exercises, no fall in oxygen saturation has been seen [31].…”

Section: Percussion and Vibrationmentioning

confidence: 99%

Physiotherapy for airway clearance in adults

1999

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Techniques for augmenting, when necessary, the normal mucociliary and cough clearance mechanisms of the lungs are not new, but, in more recent years, techniques have been developed which are effective, comfortable and can be used independent of an assistant in the majority of adolescents and adults.Postural drainage with chest clapping and chest shaking has, in most parts of the world, been replaced by the more effective techniques of the active cycle of breathing, autogenic drainage, R-C Cornet1, Flutter1, positive expiratory pressure mask, highfrequency chest wall oscillation and intrapulmonary percussive ventilation. Glossopharyngeal breathing is being considered again and is often a useful technique for increasing the effectiveness of cough in patients with tetraplegia or neuromuscular disorders.The evidence in support of these techniques is variable, and the literature is confusing and conflicting. There may or may not be significant differences among the techniques in the short or long term. Many of the regimens now include the forced expiratory manoeuvre of a "huff" and this has probably increased the effectiveness of airway clearance. If objective differences are small, individual preferences and cultural influences may be significant in increasing adherence to treatment and in the selection of an appropriate regimen or regimens for an individual patient.

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“…Chest physiotherapy in the form of manual percussion is easily administered and can be used to mobilize secretions and remove secretions, often in conjunction with suctioning or postural drainage [57,58]. Other forms of ACT include intrapulmonary percussive ventilation (IPV), which provides high frequency intermittent bursts of air during both the inspiratory and expiratory cycle causing intrapulmonary vibrations that mobilize secretions towards the mouth [18].…”

Section: Respiratory Technologymentioning

confidence: 99%

Respiratory Care Considerations for Children with Medical Complexity

Chiang

Amin

2017

Children

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Children with medical complexity (CMC) are a growing population of diagnostically heterogeneous children characterized by chronic conditions affecting multiple organ systems, the use of medical technology at home as well as intensive healthcare service utilization. Many of these children will experience either a respiratory-related complication and/or they will become established on respiratory technology at home during their care trajectory. Therefore, healthcare providers need to be familiar with the respiratory related complications commonly experienced by CMC as well as the indications, technical and safety considerations and potential complications that may arise when caring for CMC using respiratory technology at home. This review will outline the most common respiratory disease manifestations experienced by CMC, and discuss various respiratory-related treatment options that can be considered, including tracheostomy, invasive and non-invasive ventilation, as well as airway clearance techniques. The caregiver requirements associated with caring for CMC using respiratory technology at home will also be reviewed.

show abstract

Evaluation of chest percussion in the treatment of patients with copious sputum production

Cited by 62 publications

References 9 publications

Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient

Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient

Physiotherapy for airway clearance in adults

Respiratory Care Considerations for Children with Medical Complexity

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