Positive expiratory pressure techniques in respiratory patients: old evidence and new insights
نویسندگان
چکیده
منابع مشابه
Positive expiratory pressure techniques in respiratory patients: old evidence and new insights
In recent years, a large number of PEP devices, used to assist in airway clearance or, at the very least, to allow for effective self-administered physiotherapy, have been developed. A secondary clinically relevant objective of these devices is to prevent recurring infections and atelectasis, or to improve pulmonary mechanics and facilitate gas exchange, thus lowering the impact of disease prog...
متن کاملPositive expiratory pressure and oscillatory positive expiratory pressure therapies.
Airway clearance techniques, historically referred to as chest physical therapy, have traditionally consisted of a variety of breathing maneuvers or exercises and manual percussion and postural drainage. The methods and types of airway clearance techniques and devices have rapidly increased in an effort to find a more efficacious strategy that allows for self-therapy, better patient adherence a...
متن کاملPositive end-expiratory pressure in acute respiratory distress syndrome – an old yet mysterious tool
A recent study by Bruhn and colleagues, discussed here, confirms that even high levels of positive end-expiratory pressure (PEEP) - up to 20 cmH2O - may be applied in conditions of moderate acute respiratory distress syndrome. Such levels of PEEP were found to be safe in terms of their impact on cardiac output and adequacy of gastric mucosal perfusion once systemic haemodynamics were stabilized...
متن کاملDynamic hyperinflation, intrinsic positive end-expiratory pressure, and respiratory rate.
In reviewing the article “Methemoglobinemia: Sudden Dyspnea and Oxygen Desaturation After Esophagoduodenoscopy,” in the August 2004 issue of RESPIRATORY CARE,1 I found the article suggested that, during the esophagoduodenoscopy procedure the patient’s blood oxygen saturation (measured via pulse oximetry) began to drop rapidly, and a saturation of 54% registered on the pulse oximeter while the p...
متن کاملPositive end-expiratory pressure.
PURPOSE OF REVIEW In the last 2 years, several reports have dealt with recruitment/positive end-expiratory pressure (PEEP) selection. Most of them confirm previous results and few add new information. RECENT FINDINGS It has been definitely confirmed that opening pressures are different throughout the acute respiratory distress syndrome lung parenchyma, ranging from 5-10 up to 30-40 cmH2O. The...
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ژورنال
عنوان ژورنال: Breathe
سال: 2009
ISSN: 1810-6838
DOI: 10.1183/18106838.0602.153