Physiotherapy airway clearance techniques compared with suction alone in ventilated infants and children

British Journal of Intensive Care

Volumn 15, Issue 4, 2005, Pages 128-134

  Main, Eleanor ^a,b  

^a GREAT ORMOND STREET HOSPITAL   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AIRWAY OBSTRUCTION; ARTIFICIAL VENTILATION; ATELECTASIS; HUMAN; HYPERINFLATION; INTENSIVE CARE; LUNG CLEARANCE; LUNG DISEASE; LUNG INFLATION; LUNG VENTILATION; PHYSIOTHERAPY; POSTURAL DRAINAGE; REVIEW; SECRETION; SUCTION; TECHNIQUE; THORAX WALL; TREATMENT OUTCOME;

EID: 33744788629     PISSN: 09617930     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (40)

1. 2nd Paediatric Intensive Care Audit Network (PICANet) National Report. May 2005, for the period January 2003-December 2005.
2. Stiller K. Physiotherapy in intensive care: towards an evidence-based practice. Chest 2000; 118: 1801-1813.
3. Flenady VJ, Gray PH. Chest physiotherapy for preventing morbidity in babies being extubated from mechanical ventilation. Cochrane Database Syst Rev 2002; 2: CD000283.
4. Krause MF, Hoehn T. Chest physiotherapy in mechanically ventilated children: a review. Crit Care Med 2000; 28: 1648-1651.
5. Main E, Castle R, Newham D, Stocks J. Respiratory physiotherapy vs. suction: the effects on respiratory function in ventilated infants and children. Intensive Care Med 2004; 30: 1144-1151.
6. Main E, Stocks J. The influence of physiotherapy and suction on respiratory deadspace in ventilated children. Intensive Care Med 2004; 30: 1152-1159.
7. Pritchard M, Flenady V, Woodgate P. Preoxygenation for tracheal suctioning in intubated, ventilated newborn infants. Cochrane Database Syst Rev 2001; 3: CD000427.
8. Boothroyd AE, Murthy BV, Darbyshire A, Petros AJ. Endotracheal suctioning causes right upper lobe collapse in intubated children. Acta Paediatr 1996; 85: 1422-1425.
9. Singh NC, Kissoon N, Frewen T, Tiffin N. Physiological responses to endotracheal and oral suctioning in paediatric patients: the influence of endotracheal tube sizes and suction pressures. Clin Intensive Care 1991; 2: 345-350.
10. Mancinelli-Van AJ, Beck SL. Preventing hypoxemia and hemodynamic compromise related to endotracheal suctioning. Am J Crit Care 1992; 1: 62-79.
11. Kerem E, Yatsiv I, Goitein KJ. Effect of endotracheal suctioning on arterial blood gases in children. Intensive Care Med 1990; 16: 95-99.
12. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G. Dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth 1999; 82: 551-556.
13. Grap MJ, Glass C, Corley M, Parks T. Endotracheal suctioning: ventilator vs manual delivery of hyperoxygenation breaths. Am J Crit Care 1996; 5: 192-197.
14. Clarke RC, Kelly BE, Convery PN, Fee JP. Ventilatory characteristics in mechanically ventilated patients during manual hyperventilation for chest physiotherapy. Anaesthesia 1999; 54: 936-940.
15. Glass C, Grap MJ, Corley MC, Wallace D. Nurses' ability to achieve hyperinflation and hyperoxygenation with a manual resuscitation bag during endotracheal suctioning. Heart Lung 1993; 22: 158-165.
16. Novak RA, Shumaker L, Snyder JV, Pinsky MR. Do periodic hyperinflations improve gas exchange in patients with hypoxemic respiratory failure? Crit Care Med 1987; 15: 1081-1085.
17. Jones AY, Hutchinson RC, Oh TE. Effects of bagging and percussion on total static compliance of the respiratory system. Physiotherapy 1992; 78: 661-666.
18. Hodgson C, Denehy L, Ntoumenopoulos G, Santamaria J, Carroll S. An investigation of the early effects of manual lung hyperinflation in critically ill patients. Anaesth Intensive Care 2000; 28: 255-261.
19. Choi JS, Jones AY. Effects of manual hyperinflation and suctioning in respiratory mechanics in mechanically ventilated patients with ventilator-associated pneumonia. Aust J Physiother 2005; 51: 25-30.
20. King M, Phillips DM, Gross D, Vartian V, Chang HK, Zidulka A. Enhanced tracheal mucus clearance with high frequency chest wall compression. Am Rev Resp Dis 1983; 128: 511-515.
21. Ciesla ND. Chest physical therapy for patients in the intensive care unit. Phys Ther 1996; 76: 609-625.
22. Laws AK, McIntyre RW. Chest physiotherapy: a physiological assessment during intermittent positive pressure ventilation in respiratory failure. Can Anaesth Soc J 1969; 16: 487-493.
23. Stiller K, Geake T, Taylor J, Grant R, Hall B. Acute lobar atelectasis. A comparison of two chest physiotherapy regimens. Chest 1990; 98: 1336-1340.
24. Fourrier F, Fourrier L, Lestavel P. Acute lobar atelectasis in ICU patients: comparative randomized study of fibroptic bronchoscopy versus respiratory therapy. Intensive Care Med 1994; 20: s40.
25. Stiller K, Jenkins S, Grant R, Geake T, Taylor J, Hall B. Acute lobar atelectasis: a comparison of five physiotherapy regimens. Physiotherapy Theory & Practice 1996; 12: 197-209.
26. Ntoumenopoulos G, Gild A, Cooper DJ. The effect of manual lung hyperinflation and postural drainage on pulmonary complications in mechanically ventilated trauma patients. Anaesth Intensive Care 1998; 26: 492-496.
27. Eales CJ, Barker M, Cubberley NJ. Evaluation of a single chest physiotherapy treatment to post-operative, mechanically ventilated cardiac surgery patients. Physiotherapy Theory & Practice 1995; 11: 23-28.
28. Beeram MR, Dhanireddy R. Effects of saline instillation during tracheal suction on lung mechanics in newborn infants. J Perinatol 1992; 12: 120-123.
29. Shorten DR, Byrne PJ, Jones RL. Infant responses to saline instillations and endotracheal suctioning. J Obstet Gynecol Neonatal Nurs 1991; 20: 464-469.
30. Ackerman MH, Mick DJ. Instillation of normal saline before suctioning in patients with pulmonary infections: a prospective randomized controlled trial. Am J Crit Care 1998; 74: 261-266.
31. Kinloch D. Instillation of normal saline during endotracheal suctioning: effects on mixed venous oxygen saturation. Am J Crit Care 1999; 8: 231-240.
32. Swartz K, Noonan DM, Edwards-Beckett J. A national survey of endotracheal auctioning techniques in the pediatric population. Heart Lung 1996; 25: 52-60.
33. Schwenker D, Ferrin M, Gift AG. A survey of endotracheal suctioning with instillation of normal saline. Am J Crit Care 1998; 7: 255-260.
34. Brandstater B, Muallem M. Atelectasis following tracheal suction in infants. Anesthesiology 1969; 31: 468-473.
35. Paratz J, Burns Y. The effect of respiratory physiotherapy on intracranial pressure, mean arterial pressure, cerebral perfusion pressure and end tidal carbon dioxide in ventilated neurosurgical patients. Physiotherapy Theory & Practice 1993; 9: 3-11.
36. Imle PC, Mars MP, Ciesla ND, Anderson PA, Delaney PA. The effect of chest physical therapy on intracranial pressure and cerebral perfusion pressure. Physiotherapy Canada, 1998; 49: 48-55.
37. National Service Framework for Children, Young People and Maternity Services. London: Department of Health 2004.
38. Hedenstierna G. Using electric impedance tomography to assess regional ventilation at the bedside. Am J Respir Crit Care Med 2004; 169: 777-778.
39. Pillow JJ, Ljungberg H, Hulskamp G, Stocks J. Functional residual capacity measurements in healthy infants: ultrasonic flow meter versus a mass spectrometer. Eur Respir J 2004; 23: 763-768.
40. Gregson RK, Petley GW et al. A new method to quantify manual chest physiotherapy techniques Physiotherapy 2003; 289: 611-612.