Catalogo Articoli (Spogli Riviste)

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Titolo:
The use of positive pressure devices by physiotherapists
Autore:
Denehy, L; Berney, S;
Indirizzi:
Univ Melbourne, Sch Physiotherapy, Melbourne, Vic 3052, Australia Univ Melbourne Melbourne Vic Australia 3052 elbourne, Vic 3052, Australia Austin & Repatriat Med Ctr, Heidelberg, Vic, Australia Austin & Repatriat Med Ctr Heidelberg Vic Australia berg, Vic, Australia
Titolo Testata:
EUROPEAN RESPIRATORY JOURNAL
fascicolo: 4, volume: 17, anno: 2001,
pagine: 821 - 829
SICI:
0903-1936(200104)17:4<821:TUOPPD>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESPIRATORY MUSCLE WEAKNESS; END-EXPIRATORY PRESSURE; ACUTE PULMONARY FAILURE; AIRWAY PRESSURE; LUNG-VOLUME; COLLATERAL VENTILATION; ABDOMINAL-SURGERY; INCENTIVE SPIROMETRY; FACE MASK; ATELECTASIS;
Keywords:
continuous positive airway pressure; intermittent positive pressure breathing; physiotherapy; respiratory complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
83
Recensione:
Indirizzi per estratti:
Indirizzo: Denehy, L Univ Melbourne, Sch Physiotherapy, 200 Berkeley St, Melbourne, Vic 3052, Australia Univ Melbourne 200 Berkeley St Melbourne Vic Australia 3052 alia
Citazione:
L. Denehy e S. Berney, "The use of positive pressure devices by physiotherapists", EUR RESP J, 17(4), 2001, pp. 821-829

Abstract

The aim of this paper is to review the indications for use by physiotherapists, such as physiological rationale and the comparative efficacy of intermittent positive pressure breathing (IPPB) and continuous positive airway pressure (CPAP). A brief discussion of nasal intermittent positive airway pressure is also included. The use of IPPB for post operative prophylaxis has not been supported in the literature. In patients with low lung volumes resulting from neuromuscular disease or spinal injury, IPPB may be useful in the acute phase to improve tidal volume and cough effectiveness. The physiological benefits of CPAP to improve lung volumes are well documented in the literature, Physiotherapists use CPAP as an intermittent application in patients with low lung volumes following surgery, It is predominantly used as a second line intervention in the presence of refractory atelectasis and poor gas exchange. It may also he indicated in other patient groups with similar physiological problems. Nasal intermittent positive airway pressure combines the beneficial effects of intermittent positive pressure breathing and continuous positive airway pressure. There have been many studies evaluating its effectiveness. These have been supportive for patients with neuromuscular disease and sleep disordered breathing, but more research is needed in patients with acute respiratory failure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 18:39:10