Airway Clearance Techniques: The Right Choice for the Right Patient

被引:52
作者
Belli, Stefano [1 ]
Prince, Ilaria [1 ]
Savio, Gloria [1 ]
Paracchini, Elena [1 ]
Cattaneo, Davide [1 ]
Bianchi, Manuela [1 ]
Masocco, Francesca [1 ]
Bellanti, Maria Teresa [1 ]
Balbi, Bruno [1 ]
机构
[1] Ist Ric & Cura Carattere Sci, Inst Veruno, Ist Clin Sci Maugeri, Pulm Rehabil Dept, Novara, Italy
关键词
airway clearance techniques; disability; rehabilitation; COPD; bronchiectasis; amyotrophic lateral sclerosis; positive pressure; negative pressure; POSITIVE EXPIRATORY PRESSURE; MECHANICAL INSUFFLATION-EXSUFFLATION; INTRAPULMONARY PERCUSSIVE VENTILATION; CHEST-WALL OSCILLATION; OBSTRUCTIVE PULMONARY-DISEASE; TERM COMPARATIVE TRIAL; CYSTIC-FIBROSIS; NONINVASIVE VENTILATION; POSTURAL DRAINAGE; MUCUS CLEARANCE;
D O I
10.3389/fmed.2021.544826
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The management of bronchial secretions is one of the main problems encountered in a wide spectrum of medical conditions ranging from respiratory disorders, neuromuscular disorders and patients undergoing either thoracic or abdominal surgery. The purpose of this review is illustrate to the reader the different ACTs currently available and the related evidence present in literature. Alongside methods with a strong background behind as postural drainage, manual techniques or PEP systems, the current orientation is increasingly aimed at devices that can mobilize and / or remove secretions. Cough Assist, Vacuum Techniques, systems that modulate airflow have more and more scientific evidence. Different principles combination is a new field of investigation that goes toward an increasing of clinical complexity that will facing us.
引用
收藏
页数:10
相关论文
共 77 条
[1]   The utility of high-frequency chest wall oscillation therapy in the post-operative management of thoracic surgical patients [J].
Allan, JS ;
Garrity, JM ;
Donahue, DM .
CHEST, 2003, 124 (04) :235S-235S
[2]   Sputum rheology changes in cystic fibrosis lung disease following two different types of physiotherapy - Flutter vs autogenic drainage [J].
App, EM ;
Kieselmann, R ;
Reinhardt, D ;
Lindemann, H ;
Dasgupta, B ;
King, M ;
Brand, P .
CHEST, 1998, 114 (01) :171-177
[3]   Mechanical insufflation/exsufflation: has it come of age? A commentary [J].
Bach, JR .
EUROPEAN RESPIRATORY JOURNAL, 2003, 21 (03) :385-386
[4]   A pilot study on the non-invasive management of tracheobronchial secretions in tracheostomised patients [J].
Belli, Stefano ;
Cattaneo, Davide ;
D'Abrosca, Francesco ;
Prince, Ilaria ;
Savio, Gloria ;
Balbi, Bruno .
CLINICAL RESPIRATORY JOURNAL, 2019, 13 (10) :637-642
[5]  
Bertelli L, 2017, PEDIATRIC REP, V9, P53, DOI 10.4081/pr.2017.7270
[6]   Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient [J].
Bott, J. ;
Blumenthal, S. ;
Buxton, M. ;
Ellum, S. ;
Falconer, C. ;
Garrod, R. ;
Harvey, A. ;
Hughes, T. ;
Lincoln, M. ;
Mikelsons, C. ;
Potter, C. ;
Pryor, J. ;
Rimington, L. ;
Sinfield, F. ;
Thompson, C. ;
Vaughn, P. ;
White, J. .
THORAX, 2009, 64 :1-51
[7]   SHORT-TERM EFFECTS OF 3 CHEST PHYSIOTHERAPY REGIMENS IN PATIENTS HOSPITALIZED FOR PULMONARY EXACERBATIONS OF CYSTIC-FIBROSIS - A CROSS-OVER RANDOMIZED STUDY [J].
BRAGGION, C ;
CAPPELLETTI, LM ;
CORNACCHIA, M ;
ZANOLLA, L ;
MASTELLA, G .
PEDIATRIC PULMONOLOGY, 1995, 19 (01) :16-22
[8]   The active cycle of breathing techniques - to tip or not to tip? [J].
Cecins, NM ;
Jenkins, SC ;
Pengelley, J ;
Ryan, G .
RESPIRATORY MEDICINE, 1999, 93 (09) :660-665
[9]   Acute Effects of Mechanical Insufflation-Exsufflation on the Breathing Pattern in Stable Subjects With Duchenne Muscular Dystrophy [J].
Cesareo, Ambra ;
LoMauro, Antonella ;
Santi, Marika ;
Biffi, Emilia ;
D'Angelo, Maria G. ;
Aliverti, Andrea .
RESPIRATORY CARE, 2018, 63 (08) :955-965
[10]   MUCUS TRANSPORT BY HIGH-FREQUENCY NONSYMMETRICAL OSCILLATORY AIR-FLOW [J].
CHANG, HK ;
WEBER, ME ;
KING, M .
JOURNAL OF APPLIED PHYSIOLOGY, 1988, 65 (03) :1203-1209