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Chest Physiotherapy

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

Mechanical Ventilation I: Indication and Settings

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...

Tracheostomy Suctioning II: Procedure

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

Mechanical Ventilation III: Noninvasive Ventilation

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Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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Respiratory Assessment: Purpose and Indications

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
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Related Experiment Video

Updated: Jul 9, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

[Vacuum therapy--basics, indication, contraindication and cost listing].

T Wild¹, F Otto, L Mojarrad

¹Medizinische Universität Wien, Klinische Abteilung für Allgemeinchirurgie, Wien. thomas.wild@meduniwien.ac.at

Therapeutische Umschau. Revue Therapeutique

|December 14, 2007

Summary

Vacuum therapy, or Vacuum Assisted Closure (VAC), accelerates wound healing by improving blood flow and reducing bacteria. Despite higher initial costs, it offers economic and clinical benefits over traditional methods.

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Area of Science:

Wound healing
Medical technology
Regenerative medicine

Background:

Vacuum therapy has ancient roots and is increasingly used in modern clinical practice.
It offers a novel approach to treating chronic and acute wounds.
The Vacuum Assisted Closure (VAC) system is a prominent example of this therapy.

Purpose of the Study:

To evaluate the efficacy and economic viability of vacuum therapy compared to conventional wound care.
To highlight the mechanisms by which vacuum therapy promotes wound healing.
To discuss precautions and contraindications for VAC therapy.

Main Methods:

Review of clinical studies with high evidence levels.
Analysis of economic and clinical advantages.
Case study illustration (open abdomen).

Main Results:

Vacuum therapy stimulates blood flow, granulation tissue formation, angiogenesis, and cell proliferation.
It accelerates wound closure and reduces bacterial load.
Clinical and economic benefits, including reduced healing time, fewer dressing changes, shorter hospital stays, and decreased complications, outweigh initial costs.

Conclusions:

Vacuum therapy, particularly the VAC system, is an effective and economically advantageous alternative to conservative wound care.
It significantly accelerates healing and can lower mortality rates.
Awareness of contraindications is crucial for effective application.