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Related Concept Videos

Chest Physiotherapy01:24

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.
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
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History:
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
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Clinical Manifestations:

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Published on: November 4, 2010

Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised

Isabelle Rochat1, Patricia Leis, Marie Bouchardy

  • 1Pediatric Pulmonology Unit, Children's Hospital, University Hospitals, Geneva, Switzerland. isabelle.rochat@chuv.ch

European Journal of Pediatrics
|September 20, 2011
PubMed
Summary

Chest physiotherapy (CP) did not improve clinical stability in infants hospitalized with bronchiolitis. This study suggests against the routine use of CP for these patients.

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Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Trials

Background:

  • Chest physiotherapy (CP) using passive expiratory maneuvers is common for infant bronchiolitis in Western Europe.
  • Evidence supporting the efficacy of CP for bronchiolitis is lacking.

Purpose of the Study:

  • To evaluate the effectiveness of CP in infants hospitalized for bronchiolitis.
  • To compare time to clinical stability, daily improvement of a severity score, and complication rates between infants with and without CP.

Main Methods:

  • An open randomized trial was conducted with infants under one year old admitted for bronchiolitis.
  • Infants were randomized to receive CP (prolonged slow expiratory technique, slow accelerated expiratory flow, induced cough) or standard care.
  • Standard care included suctioning, minimal handling, oxygen, and fractionated meals.

Main Results:

  • Time to clinical stability was similar in both groups (2.9 ± 2.1 days with CP vs. 3.2 ± 2.8 days without CP; P=0.45).
  • A slightly faster improvement in the respiratory score, including stethoacoustic properties, was observed in the CP group (P=0.044).
  • Complications were infrequent but occurred more often in the control group (P=0.21).

Conclusions:

  • Chest physiotherapy using passive expiratory techniques is not effective in infants hospitalized for bronchiolitis.
  • Routine use of CP in hospitalized infants with bronchiolitis is not justified and may be recommended against.