Physiotherapy management

Hough, Alexandra

doi:10.1007/978-1-4899-3049-1_5

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Its applicability is conditioned by the targeted pulmonary region in regard to ventilation and lung volume. An abdominal or costal ventilatory pattern can be chosen and can be optimized with adequate positioning [ 60 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Nonpharmacological Interventions in the Field of Ventilation: An Umbrella Review

Reis¹,

Gaspar

Silva

et al. 2023

IJERPH

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This umbrella review aimed to determine the effectiveness of nonpharmacological interventions in pulmonary ventilation and their impact on respiratory function. An individual with impaired ventilation displays visible variations manifested in their respiratory frequency, breathing rhythm ratio (I:E), thoracic symmetry, use of accessory muscles, dyspnea (feeling short of breath), oxygen saturation, diaphragm mobility, minute ventilation, peak flow, walking test, spirometry, Pimax/Pemax, diffusion, and respiratory muscle strength. Any variation in these markers demands the need for interventions in order to duly manage the signs and symptoms and to improve ventilation. Method: Systematic reviews of the literature published in English, Spanish, French, and Portuguese were used, which included studies in which nonpharmacological interventions were used as a response to impaired ventilation in adults in any given context of the clinical practice. The recommendations given by the Joanna Briggs Institute (JBI) for umbrella reviews were followed. This research took place in several databases such as MEDLINE, CINAHL Complete, CINHAL, MedicLatina, ERIC, Cochrane Reviews (Embase), and PubMed. The Joanna Briggs critical analysis verification list was used for the systematic review. The data extraction was performed independently by two investigators based on the data extraction tools of the Joanna Briggs Institute, and the data were presented in a summary table alongside the support text. Results: Forty-four systematic reviews, thirty randomized clinical essays, and fourteen observational studies were included in this review. The number of participants varied between n = 103 and n = 13,370. Fifteen systematic revisions evaluated the effect of isolated respiratory muscular training; six systematic revisions evaluated, in isolation, breathing control (relaxed breathing, pursed-lip breathing, and diaphragmatic breathing exercises) and thoracic expansion exercises; and one systematic review evaluated, in isolation, the positions that optimize ventilation. Nineteen systematic reviews with combined interventions that reinforced the role of education and capacitation while also aiming for their success were considered. The articles analyzed isolated interventions and presented their efficacy. The interventions based on respiratory exercises and respiratory muscular training were the most common, and one article mentioned the efficacy of positioning in the compromisation of ventilation. Combined interventions in which the educational component was included were found to be effective in improving pulmonary function, diffusion, oxygenation, and functional capacity. The outcomes used in each study were variable, leading to a more difficult analysis of the data. Conclusions: The interventions that were the focus of the review were duly mapped. The results suggest that nonpharmacological interventions used to optimize ventilation are effective, with a moderate to high level of evidence. There is a strong foundation for the use of the chosen interventions. The lack of studies on the intervention of “positioning to optimize ventilation” points out the need for a deeper analysis of its effects and for studies with a clear focus. This study supports the decisions and recommendations for the prescription of these interventions to patients with impaired ventilation.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Nonpharmacological Interventions in the Field of Ventilation: An Umbrella Review

Reis¹,

Gaspar

Silva

et al. 2023

IJERPH

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“…Is a blood test which is giving an indication of ventilation, gas exchange and acid-base status. It is a blood sample from any artery and enter arterial blood gases device [15]. ABG measurements are PH for blood acids and bases, partial pressure of oxygen (PaO 2 ) for pressure of oxygen in the blood, partial pressure of carbon dioxide (PaCO 2 ) carbon dioxide amount in the blood, bicarbonate (HCO 3 ) is calculated using the measured values of pH and PaCO 2 to determine the amount of the basic compound made from carbon dioxide (CO 2 ), oxygen saturation (SAT) how much hemoglobin is carrying oxygen [16].…”

Section: Methodsmentioning

confidence: 99%

Efficacy of Bubble Positive Expiratory Pressure Device in Post Thoracic Surgery Patients

OMNIA M. NAGIB, M.Sc.*; FATMA S.

2024

The Medical Journal of Cairo University

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Background: Pulmonary complications are common after cardiac surgery such as reduction of oxygen saturation, pneumonia, pulmonary embolism and pleural effusions. Pulmonary complications after cardiac surgery result in prolonged hospitalization and increase in healthcare cost, patients have limited homeostatic reserve associated with chronic heart failure, pulmonary illness and multiple comorbidities. Aim of Study:To investigate the effect of bubble positive expiratory pressure device on arterial blood gases and chest expansion measurement in post thoracic surgery patients.Patients and Methods: Fifty-two (52) male and female patients after thoracic surgery their age 50-75 years; randomly allocated into equal two groups. Group A (control group) received conventional treatment including diaphragmatic breathing exercises and pursed lip breathing exercises, Group B (study group) received conventional treatment and bubble positive expiratory pressure device. The treatment was applied two times per day for one week. Arterial blood gases measured by arterial blood gases device and chest expansion measured by tape measurement preand post-treatment. Results:The study group (B) showed statistical significance reduction in partial pressure of carbon dioxide in arterial blood (PaCO 2 ) and improvement in partial pressure of oxygen in arterial blood (PaO 2 ) and arterial oxygen saturation (SAT) than control group (A). There was no significance difference in acid-base balance of the blood (PH), concentration of bicarbonate in arterial blood (HCO 3 ) and chest expansion measurement between study group (B) and control group (A). Conclusion:Bubble positive expiratory pressure device and conventional treatment improve PaO 2 and SAT and reduces PaCO 2 in patients after thoracic surgeries than conventional treatment alone.

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Physiotherapy management

Cited by 2 publications

References 5 publications

Effectiveness of Nonpharmacological Interventions in the Field of Ventilation: An Umbrella Review

Effectiveness of Nonpharmacological Interventions in the Field of Ventilation: An Umbrella Review

Efficacy of Bubble Positive Expiratory Pressure Device in Post Thoracic Surgery Patients

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