1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

ABSTRACT Manual breathing Chronic Obstructive Pulmonary Disease (COPD) is a disease characterized by airway limitations that are not fully reversible. According to the 2015 WHO World Health Organization, it estimated 2020 prevalence of COPD will increase from sixth third in world as most common cause death after cardiovascular and cancer. This study aims describe gerontic nursing care for patie...

Chest physiotherapy practice may vary across intensive care units, hospitals, and countries, including the techniques used and the professionals that deliver the intervention.1 There are also variations in methods of patient referral (if required), treatment goals, and selection of interventions.1–3 Chest physiotherapy goals may include the enhanced clearance of airway secretions, the optimizat...

In patients with cystic fibrosis (CF), early intervention and prevention of lung disease is of paramount importance. Principles to achieve this aim include early diagnosis of CF, regular monitoring of the clinical status, various hygienic measures to prevent infection and cross-infection, early use of antibiotic courses in patients with recurrent or continuous bacterial colonisation and appropr...

Background: Chest physiotherapy is essential to the management of cystic fibrosis (CF). However, respiratory muscle fatigue and oxygen desaturation during treatment have been reported. The aim of this study was to determine whether non-invasive ventilation (NIV) during chest physiotherapy could prevent these adverse effects in adults with exacerbations of CF. Methods: Twenty six patients of mea...

BACKGROUND Chest physiotherapy is essential to the management of cystic fibrosis (CF). However, respiratory muscle fatigue and oxygen desaturation during treatment have been reported. The aim of this study was to determine whether non-invasive ventilation (NIV) during chest physiotherapy could prevent these adverse effects in adults with exacerbations of CF. METHODS Twenty six patients of mea...