Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Intermittent positive pressure breathing (IPPB) therapy.

H Handelsman

    Health Technology Assessment Reports
    |January 1, 1991
    PubMed
    Summary

    Intermittent positive pressure breathing (IPPB) is a mechanical ventilation method with limited clinical effectiveness for most pulmonary conditions. Its use is now restricted to specific cases of respiratory failure, severe bronchospasm, or refractory atelectasis.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Cryosurgery for recurrent prostate cancer following radiation therapy.

    Health technology assessment·2002
    Same author

    Utility of current risk stratification tests for predicting major arrhythmic events after myocardial infarction.

    Journal of the American College of Cardiology·2001
    Same author

    Dysrhythmia hazard after hospitalization for myocardial infarction: two ECG prognostic methods compared.

    Journal of electrocardiology·2001
    Same author

    Signal-averaged electrocardiography.

    Health technology assessment·1998
    Same author

    Lung-volume reduction surgery for end-stage chronic obstructive pulmonary disease.

    Health technology assessment·1996
    Same author

    Haematopoietic stem-cell transplantation in multiple myeloma.

    Cancer treatment reviews·1996

    Area of Science:

    • Pulmonary Medicine
    • Respiratory Therapy
    • Critical Care

    Background:

    • Intermittent positive pressure breathing (IPPB) is a mechanical ventilation technique.
    • Historically used for various pulmonary conditions and medication delivery.
    • Recent clinical trials have questioned its widespread utility and effectiveness.

    Purpose of the Study:

    • To evaluate the clinical effectiveness of IPPB.
    • To determine the conditions where IPPB may still be beneficial.
    • To contrast IPPB with simpler therapeutic alternatives.

    Main Methods:

    • Review of published clinical trials and reports on IPPB.
    • Analysis of IPPB's efficacy in terms of morbidity, mortality, and lung function.
    • Comparison of IPPB outcomes with standard and simpler therapies.

    Main Results:

    • IPPB's effectiveness is short-lived (approx. 1 hour) with unproven long-term consequences.
    • No study has unequivocally demonstrated IPPB's clinical effectiveness.
    • IPPB offers no general advantage over simpler therapies for COPD, asthma, or atelectasis.

    Conclusions:

    • IPPB's widespread application has diminished due to questionable utility.
    • IPPB may be useful in specific patient groups: those at risk of respiratory failure (kyphoscoliosis, neuromuscular disorders), acute severe bronchospasm/COPD unresponsive to standard therapy, or refractory atelectasis.
    • Simpler therapies are generally preferred over IPPB for most pulmonary conditions.

    Related Experiment Videos