Intrapulmonary percussive ventilation improves the outcome of patients with acute exacerbation of chronic obstructive pulmonary disease using a helmet*

Antonaglia, Vittorio; Lucangelo, Umberto; Zin, Walter A.; Peratoner, Alberto; Simoni, L; Capitanio, Guido; Pascotto, Sara; Gullo, Antonino

doi:10.1097/01.ccm.0000248725.15189.7d

Cited by 53 publications

(111 citation statements)

References 34 publications

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“…Diminishing of RR is one of the most important parameters for recovery from acute respiratory failure. Antanoglia et al (20) found that RR diminished in the full face mask and helmet groups after NIMV. In the present study, our findings are similar to that study, and diminishing of RR was similar in all study periods in both groups.…”

Section: Discussionmentioning

confidence: 99%

“…The volume of the helmet is approximately 6-8 L. It is negligible when pressure support is administered at a sufficient level. If the level of pressure support is kept around 10 cmH 2 O, the CO 2 rebreathing level is always lower than 1.5%, similar to the face mask level (20,21). Baglioni et al (22) performed NIMV with a helmet in 25 patients who had acute respiratory failure due to COPD exacerbations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of helmet and facial mask during noninvasiveventilation in patients with acute exacerbation of chronic obstructivepulmonary disease: a randomized controlled study

Özlem¹,

Ali²,

Ulus³

et al. 2015

Turk J Med Sci

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Background/aim: Noninvasive mechanical ventilation (NIMV) is an approach to prevent complications in acute respiratory failure. In this study we aimed to compare the efficacy of a full face mask and a helmet in chronic obstructive pulmonary disease (COPD).Materials and methods: Fifty patients were divided randomly into 2 groups as full face mask (Group F) and helmet (Group H). Demographic data, forced expiratory volume at 1 s (FEV1), additional disease, hemodynamic parameters, respiratory rate, APACHE II score, peripheral O 2 saturation (SpO 2 ), arterial blood gases (ABG), patient tolerance scale (PTS) score, and fraction of inspired oxygen (FiO 2 ) were recorded. Parameters were recorded as follows: 20 min before the NIMV; every 30 min of NIMV until 120 min; 30 min, 24 h, and 48 h after NIMV; and prior to intensive care unit discharge. Results:The SpO 2 , PTS, ABG, complication rate, and APACHE II scores were not different between the groups (P > 0.05). The decrease in PaCO 2 was statistically significant at 60 min in Group F (P < 0.05), and there was no statistical difference in Group H (P < 0.05) according to initial PaCO 2 values. Conclusion:Both masks are efficient in improving the patients' outcome in COPD, but the decrease in PaCO 2 in the helmet group was slower than in the full face mask group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of helmet and facial mask during noninvasiveventilation in patients with acute exacerbation of chronic obstructivepulmonary disease: a randomized controlled study

Özlem¹,

Ali²,

Ulus³

et al. 2015

Turk J Med Sci

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“…27 CPT included 25-30 min of chest percussion, mobilization, postural drainage, and expiration with the glottis open in lateral posture. IPV consisted of 25-30 min sessions of mouthpiece IPV delivering high-flow mini-bursts at 225 cycles/min.…”

Section: Studies Evaluating Cpt In Non-postoperative Subjectsmentioning

confidence: 99%

Nonpharmacologic Airway Clearance Techniques in Hospitalized Patients: A Systematic Review

et al. 2013

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SummaryNonpharmacologic airway clearance techniques are used to reduce the sequelae of obstructive secretions. We systematically reviewed comparative studies of nonpharmacologic interventions that health professionals can employ to achieve mucus clearance in hospitalized or postoperative patients without cystic fibrosis, over the age of 12 months. We searched MEDLINE and other databases from 1990 to 2012 to identify relevant literature. Two reviewers independently assessed each study against predetermined inclusion/exclusion criteria. Two reviewers also independently extracted data regarding subject and intervention characteristics and outcomes, and assigned overall quality ratings. The 32 studies meeting the review criteria included 24 randomized controlled trials, 7 crossover randomized controlled trials, and one prospective cohort study. Studies were typically small and together included a total of 2,453 subjects (mean 76/study). Studies generally examined chest physical therapy/physiotherapy modalities in postoperative or critically ill subjects or those with COPD. Interventions, comparators, and populations varied considerably across studies, hampering our ability to draw firm conclusions. Interventions, including conventional chest physical 2160RESPIRATORY CARE • DECEMBER 2013 VOL 58 NO 12 therapy/physiotherapy, intrapulmonary percussive ventilation, and positive expiratory pressure, typically provided small benefits in pulmonary function, gas exchange, oxygenation, and need for/duration of ventilation, among other outcomes, but differences between groups were generally small and not significant. Harms of the techniques were not consistently reported, though airway clearance techniques were generally considered safe in studies that did comment on adverse effects. Further research with clearly characterized populations and interventions is needed to understand the potential benefits and harms of these techniques.

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“…7 IPV is powered with a pressure of about 50 cm H 2 O and delivers small bursts of high-flow gas at 100 -300 cycles/ min, 8 which causes airway pressure changes of 5-35 cm H 2 O, and vibrates the airway walls. IPV improves airway secretion clearance in CF patients, 9,10 Duchenne muscular dystrophy, 11 pediatric patients with atelectasis, 12 COPD exacerbation, 13,14 obesity, 15 tracheostomized patients 16 and patients with acute respiratory failure. 13 To our knowledge there have been no trials of IPV in patients with bronchiectasis.…”

Section: Introductionmentioning

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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Intrapulmonary percussive ventilation improves the outcome of patients with acute exacerbation of chronic obstructive pulmonary disease using a helmet*

Cited by 53 publications

References 34 publications

Comparison of helmet and facial mask during noninvasiveventilation in patients with acute exacerbation of chronic obstructivepulmonary disease: a randomized controlled study

Comparison of helmet and facial mask during noninvasiveventilation in patients with acute exacerbation of chronic obstructivepulmonary disease: a randomized controlled study

Nonpharmacologic Airway Clearance Techniques in Hospitalized Patients: A Systematic Review

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

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