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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
Chest physiotherapy for pneumonia in children
Gabriela S S Chaves1, Guilherme A F Fregonezi, Fernando A L Dias
1Department of Physical Therapy, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho, 3000, Bairro Lagoa Nova, Natal, Rio Grande do Norte, Brazil, 59078-970.
The Cochrane Database of Systematic Reviews
|September 24, 2013
Summary
Chest physiotherapy for pediatric pneumonia lacks conclusive evidence for improving recovery time. More research is needed to determine its effectiveness and role in treating childhood pneumonia.
Area of Science:
- Pediatric Pulmonology
- Critical Care Medicine
- Evidence-Based Medicine
Background:
- Pneumonia is a leading cause of death in children globally.
- Chest physiotherapy is a common adjuvant treatment for pneumonia, aiming to clear secretions and improve respiratory function.
- Its clinical indication and effectiveness in pediatric pneumonia remain debated.
Purpose of the Study:
- To evaluate the effectiveness of chest physiotherapy in children with pneumonia.
- The primary outcome was the time to clinical resolution of pneumonia.
- The study included children aged 0-18 years with any type of pneumonia.
Main Methods:
- A systematic review of randomized controlled trials (RCTs) was conducted.
- Searches included multiple databases (CENTRAL, MEDLINE, EMBASE, etc.) and clinical trial registries.
- RCTs comparing any chest physiotherapy with no physiotherapy in children with pneumonia were included.
Main Results:
- Three RCTs with 255 children were analyzed, investigating conventional chest physiotherapy, positive expiratory pressure, and continuous positive airway pressure.
- Two studies showed significant improvements in respiratory rate and oxygen saturation.
- One study found no significant reduction in clinical resolution time or hospital stay with standardized physiotherapy or positive expiratory pressure.
Conclusions:
- Current evidence is insufficient to support the routine use of chest physiotherapy for pediatric pneumonia.
- Limited data and heterogeneity among studies prevent definitive conclusions.
- Further high-quality research is required to establish the role of chest physiotherapy in managing childhood pneumonia.
Related Concept Videos
01:24Chest 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...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:28Pneumonia IV: Management
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Bacterial Pneumonia Treatment
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Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
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01:27Pneumothorax-II
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Clinical Manifestations:
Clinical Manifestations: