Intrapulmonary Percussive Ventilation Superimposed on Conventional Mechanical Ventilation: Comparison of Volume Controlled and Pressure Controlled Modes

Riffard, Guillaume; Buzenet, Julien; Guérin, Claude

doi:10.4187/respcare.02727

Cited by 7 publications

(14 citation statements)

References 15 publications

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“…The use of IPV is possible with artificial airways such as an endotracheal tube or tracheostomy. IPV is also possible in association with mechanical ventilation [109]. [110].…”

Section: Physiological Effectsmentioning

confidence: 99%

Airway clearance techniques in neuromuscular disorders: A state of the art review

Chatwin

Toussaint²,

Gonçalves

et al. 2018

Respiratory Medicine

213

266

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This is a unique state of the art review written by a group of 21 international recognized experts in the field that gathered during a meeting organized by the European Neuromuscular Centre (ENMC) in Naarden, March 2017. It systematically reports the entire evidence base for airway clearance techniques (ACTs) in both adults and children with neuromuscular disorders (NMD). We not only report randomised controlled trials, which in other systematic reviews conclude that there is a lack of evidence base to give an opinion, but also include case series and retrospective reviews of practice. For this review, we have classified ACTs as either proximal (cough augmentation) or peripheral (secretion mobilization). The review presents descriptions; standard definitions; the supporting evidence for and limitations of proximal and peripheral ACTs that are used in patients with NMD; as well as providing recommendations for objective measurements of efficacy, specifically for proximal ACTs. This state of the art review also highlights how ACTs may be adapted or modified for specific contexts (e.g. in people with bulbar insufficiency; children and infants) and recommends when and how each technique should be applied.

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“…The use of IPV is possible with artificial airways such as an endotracheal tube or tracheostomy. IPV is also possible in association with mechanical ventilation [109]. [110].…”

Section: Physiological Effectsmentioning

confidence: 99%

Airway clearance techniques in neuromuscular disorders: A state of the art review

Chatwin

Toussaint²,

Gonçalves

et al. 2018

Respiratory Medicine

213

266

View full text Add to dashboard Cite

show abstract

“…The bursts of air are delivered at a rate of 60 to 600 cycles/minute to loosen and move secretions to the main airway for removal via cough or suctioning. 11 Additionally, increased alveolar diffusion, alveolar recruitment, and even distribution of ventilation across alveoli are attained during IPV treatment. 11 Intrapulmonary percussive ventilation is indicated in patients with atelectasis, bronchitis, pneumonia, chronic obstructive pulmonary disease (COPD), cystic fibrosis, neuromuscular disease (NMD), restrictive lung disease, and post-thoracic or abdominal surgery.…”

Section: Lung Recruitmentmentioning

confidence: 99%

“…11 Additionally, increased alveolar diffusion, alveolar recruitment, and even distribution of ventilation across alveoli are attained during IPV treatment. 11 Intrapulmonary percussive ventilation is indicated in patients with atelectasis, bronchitis, pneumonia, chronic obstructive pulmonary disease (COPD), cystic fibrosis, neuromuscular disease (NMD), restrictive lung disease, and post-thoracic or abdominal surgery. Contraindications of IPV include untreated pneumothorax, hemoptysis, unstable chest, and tuberculosis.…”

Section: Lung Recruitmentmentioning

confidence: 99%

“…Contraindications of IPV include untreated pneumothorax, hemoptysis, unstable chest, and tuberculosis. 11 The effectiveness of IPV has been studied in patients with chronic diseases such as cystic fibrosis, NMD, and COPD. 12 Little is known about IPV in the donor population.…”

Section: Lung Recruitmentmentioning

confidence: 99%

“…Contraindications of IPV include untreated pneumothorax, hemoptysis, unstable chest, and tuberculosis. 11…”

Section: Introductionmentioning

confidence: 99%

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Intrapulmonary Percussive Ventilation as a Lung Recruitment Strategy in Brain-Dead Organ Donors

Lerg

Shanta

2016

Prog Transpl

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Objective: To determine the strength of the evidence evaluating the effectiveness of intrapulmonary percussive ventilation (IPV) as a safe alternative or adjunctive therapy to traditional chest physiotherapy (CPT) among potential organ donors. Data Sources: Literature search conducted from February 2015 to November 2015 using PubMed, Cumulative Index of Nursing and Allied Health Literature, Scopus, and bibliographies of pertinent articles. Search Terms: Intrapulmonary percussive ventilation, chest physiotherapy, chest wall oscillation, organ donors, and ventilation. Study Selection: Articles in English from 1994 to present directly compared IPV to CPT or conventional (no) therapy. Data Extraction: Association of Critical-Care Nurses Levels of Evidence was used to determine the strength of evidence. Level B and level C articles were reviewed. Data Synthesis: No studies were found using IPV in the donor population. Results from studies using IPV in other populations indicated IPV had no adverse effects, improved sputum clearance and oxygenation, and reduced atelectasis and pneumonia in patients with artificial airways. Conclusion: Intrapulmonary percussive ventilation may be a safe and effective alternative or adjunctive to CPT therapy and improve the number of lungs available for transplantation. Clinical research is essential to determine the effectiveness of this therapy for lung recruitment in the donor population.

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Non-Pharmaceutical Techniques for Obstructive Airway Clearance Focusing on the Role of Oscillating Positive Expiratory Pressure (OPEP): A Narrative Review

Coppolo¹,

Schloss²,

Suggett

et al. 2021

Pulm Ther

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Mucus secretion in the lungs is a natural process that protects the airways from inhaled insoluble particle accumulation by capture and removal via the mucociliary escalator. Diseases such as cystic fibrosis (CF) and associated bronchiectasis, as well as chronic obstructive pulmonary disease (COPD), result in mucus layer thickening, associated with high viscosity in CF, which can eventually lead to complete airway obstruction. These processes severely impair the delivery of inhaled medications to obstructed regions of the lungs, resulting in poorly controlled disease with associated increased mor-

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Intrapulmonary Percussive Ventilation Superimposed on Conventional Mechanical Ventilation: Comparison of Volume Controlled and Pressure Controlled Modes

Cited by 7 publications

References 15 publications

Airway clearance techniques in neuromuscular disorders: A state of the art review

Airway clearance techniques in neuromuscular disorders: A state of the art review

Intrapulmonary Percussive Ventilation as a Lung Recruitment Strategy in Brain-Dead Organ Donors

Non-Pharmaceutical Techniques for Obstructive Airway Clearance Focusing on the Role of Oscillating Positive Expiratory Pressure (OPEP): A Narrative Review

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