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Physiotherapy in ventilated children

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https://www.readbyqxmd.com/read/27254132/effectiveness-of-airway-clearance-techniques-in-children-hospitalized-with-acute-bronchiolitis
#1
F Van Ginderdeuren, Y Vandenplas, M Deneyer, S Vanlaethem, R Buyl, E Kerckhofs
OBJECTIVE: To evaluate the effectiveness of two airway clearance techniques (ACT's) in children <24 months hospitalized with mild to moderate bronchiolitis. DESIGN: One hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV), or bouncing (B) (control group), ninety-three finished the study. OUTCOME MEASURES: Mean time to recovery in days was our primary outcome measure...
June 2, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27177013/a-regional-cohort-study-of-the-treatment-of-critically-ill-children-with-bronchiolitis
#2
Christopher L Carroll, Edward Vincent S Faustino, Matthew G Pinto, Kathleen A Sala, Michael F Canarie, Simon Li, John S Giuliano, The Northeast Pediatric Critical Care Research Consortium
OBJECTIVE: To describe the treatment practices in critically ill children with RSV bronchiolitis across four regional PICUs in the northeastern United States, and to determine the factors associated with increased ICU length of stay in this population. METHODS: We conducted a retrospective cohort study of children who were admitted with RSV bronchiolitis between July 2009 and July 2011 to the PICUs of Connecticut Children's Medical Center, Yale-New Haven Children's Hospital, Maria Fareri Children's Hospital, and Baystate Children's Hospital...
December 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/26915299/influence-of-intrapulmonary-percussive-ventilation-in-upright-position-on-gastro-oesophageal-reflux-in-infants
#3
F Van Ginderdeuren, E Kerckhofs, M Deneyer, S Vanlaethem, R Buyl, Y Vandenplas
OBJECTIVES: To determine the influence of physiotherapy using intrapulmonary percussive ventilation on gastro-oesophageal reflux (GOR) in infants <1 year. METHODS: In this controlled trial with intra-subject design, children were studied using multichannel intraluminal impedance pH (pH-MII) monitoring over 24 hr, during which they received one 20-min session of intrapulmonary percussive ventilation in upright position (IPVR ), 2 hr after their latest feeding...
February 24, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26837865/-non-invasive-and-invasive-out-of-hospital-ventilation-in-chronic-respiratory-failure-consensus-report-of-the-working-group-on-ventilation-and-intensive-care-medicine-of-the-austrian-society-of-pneumology
#4
Peter Schenk, Ernst Eber, Georg-Christian Funk, Wilfried Fritz, Sylvia Hartl, Peter Heininger, Eveline Kink, Gernot Kühteubl, Beatrice Oberwaldner, Ulrike Pachernigg, Andreas Pfleger, Petra Schandl, Ingrid Schmidt, Markus Stein
The current consensus report was compiled under the patronage of the Austrian Society of Pneumology (Österreichischen Gesellschaft für Pneumologie, ÖGP) with the intention of providing practical guidelines for out-of-hospital ventilation that are in accordance with specific Austrian framework parameters and legal foundations. The guidelines are oriented toward a 2004 consensus ÖGP recommendation concerning the setup of long-term ventilated patients and the 2010 German Respiratory Society S2 guidelines on noninvasive and invasive ventilation of chronic respiratory insufficiency, adapted to national experiences and updated according to recent literature...
February 2016: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/26058477/randomised-trial-of-early-neonatal-hydrocortisone-demonstrates-potential-undesired-effects-on-neurodevelopment-at-preschool-age
#5
RANDOMIZED CONTROLLED TRIAL
Outi M Peltoniemi, Aulikki Lano, Anneli Yliherva, M Anneli Kari, Mikko Hallman
AIM: We evaluated the neurodevelopment and growth of five- to seven-year-old children who had participated in a randomised trial of early low-dose hydrocortisone treatment to prevent bronchopulmonary dysplasia. METHODS: The 51 infants in the original study had birthweights of 501-1250 g and gestational ages of 23-30 weeks, required mechanical ventilation during the first 24 hours and received hydrocortisone or a placebo for 10 days. The majority (80%) of the 90% who survived to five- to seven years of age participated in this follow-up study and their growth, neuromotor, cognitive and speech development were evaluated...
February 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/25834007/continuing-to-challenge-practice-to-be-evidence-based
#6
Mary Beth Flynn Makic, Carol Rauen, Kimmith Jones, Anna C Fisk
Practice habits continue in clinical practice despite the availability of research and other forms of evidence that should be used to guide critical care practice interventions. This article is based on a presentation at the 2014 National Teaching Institute of the American Association of Critical-Care Nurses. The article is part of a series of articles that challenge critical care nurses to examine the evidence guiding nursing practice interventions. Four common practice interventions are reviewed: (1) weight-based medication administration, (2) chest tube patency maintenance, (3) daily interruption of sedation, and (4) use of chest physiotherapy in children...
April 2015: Critical Care Nurse
https://www.readbyqxmd.com/read/25749495/clinical-effects-of-specialist-and-on-call-respiratory-physiotherapy-treatments-in-mechanically-ventilated-children-a-randomised-crossover-trial
#7
RANDOMIZED CONTROLLED TRIAL
Harriet Shannon, Janet Stocks, Rachael K Gregson, Catherine Dunne, Mark J Peters, Eleanor Main
OBJECTIVES: The study investigated treatment outcomes when respiratory physiotherapy was delivered by non-respiratory on-call physiotherapists, compared with specialist respiratory physiotherapists. DESIGN: Prospective, randomised crossover trial. SETTING: Paediatric, tertiary care hospital in the United Kingdom. PARTICIPANTS: Mechanically ventilated children requiring two physiotherapy interventions during a single day were eligible...
December 2015: Physiotherapy
https://www.readbyqxmd.com/read/25749494/differences-in-delivery-of-respiratory-treatments-by-on-call-physiotherapists-in-mechanically-ventilated-children-a-randomised-crossover-trial
#8
RANDOMIZED CONTROLLED TRIAL
Harriet Shannon, Janet Stocks, Rachael K Gregson, Sarah Hines, Mark J Peters, Eleanor Main
OBJECTIVES: To investigate differences, if any, in the delivery of respiratory treatments to mechanically ventilated children between non-respiratory on-call physiotherapists and specialist respiratory physiotherapists. SETTING: Paediatric, tertiary care hospital in the United Kingdom. PARTICIPANTS: 93 children (aged between 3 days and 16 years), and 22 physiotherapists (10 specialist respiratory physiotherapists) were recruited to the study...
December 2015: Physiotherapy
https://www.readbyqxmd.com/read/24630620/-multicentric-study-of-medical-care-and-practices-in-spinal-muscular-atrophy-type-1-over-two-10-year-periods
#9
MULTICENTER STUDY
C Barnérias, S Quijano, M Mayer, B Estournet, J-M Cuisset, S Sukno, S Peudenier, C Laroche, S Chabrier, P Sabouraud, C Vuillerot, B Chabrol, C Halbert, C Cancès, P Beze-Beyrie, A Ledivenah, M-L Viallard, I Desguerre
AIM: Questions about care practices and the role of palliative care in pediatric neurodegenerative diseases have led the Neuromuscular Committee of the French Society of Neurology to conduct a retrospective study in spinal muscular atrophy type 1, a genetic disease most often leading to death before the age of 1 year. MATERIAL AND METHODS: A retrospective multicenter study from pediatricians included in the reference centers of pediatric neuromuscular diseases was carried out on two 10-year periods (1989-1998 and 1999-2009)...
April 2014: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/23992879/obstructive-sleep-apnea-syndrome-in-childhood
#10
REVIEW
Luigi Nespoli, Alberto Caprioglio, Luigia Brunetti, Luana Nosetti
Obstructive sleep apnea syndrome (OSAS) was first reported in 1976 by Guilleminault. This condition has been defined as a disorder of breathing during sleep characterized by prolonged partial/complete upper airway obstruction that disrupts normal ventilation and normal sleep patterns. The prevalence of this condition varies among the different populations but it is between 1 and 2% in preschool children when adenoid and tonsils volume has a major peak. Loud snoring is very common in these children but not always present...
October 2013: Early Human Development
https://www.readbyqxmd.com/read/23917758/i-brazilian-guidelines-for-respiratory-physiotherapy-in-pediatric-and-neonatal-intensive-care-units
#11
Cíntia Johnston, Nathalia Mendonça Zanetti, Talitha Comaru, Simone Nascimento Dos Santos Ribeiro, Lívia Barboza de Andrade, Suzi Laine Longo Dos Santos
Developing guidelines for the role of the physiotherapist in neonatal and pediatric intensive care units is essential because these professionals are responsible for the rehabilitation of critically ill patients. Rehabilitation includes the evaluation and prevention of functional kinetic alterations, application of treatment interventions (respiratory and/or motor physiotherapy), control and application of medical gases, care of mechanical ventilation, weaning and extubation, tracheal gas insufflation, inflation/deflation of the endotracheal cuff protocol, and surfactant application, aiming to allow patients to have a full recovery and return to their functional activities...
June 2012: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/23538600/interventions-for-primary-intrinsic-tracheomalacia-in-children
#12
COMMENT
Saramira Cardoso Bohadana
BACKGROUND Tracheomalacia, a disorder of the large airways where the trachea is deformed or malformed during respiration, is commonly seen in tertiary paediatric practice. It is associated with a wide spectrum of respiratory symptoms from life-threatening recurrent apnoea to common respiratory symptoms such as chronic cough and wheeze. Current practice following diagnosis of tracheomalacia includes medical approaches aimed at reducing associated symptoms of tracheomalacia, ventilation modalities of continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP), and surgical approaches aimed at improving the calibre of the airway (airway stenting, aortopexy, tracheopexy)...
2013: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/23158890/treatment-of-critical-illness-polyneuropathy-and-or-myopathy-a-systematic-review
#13
REVIEW
Mogens Ydemann, Heidi Shil Eddelien, Anne Øberg Lauritsen
INTRODUCTION: The objective was to search the literature with a view to providing a general description of critical illness myopathy/polyneuropathy (CIM/CIP), including its genesis and prevention. Furthermore, it was our aim to determine whether new treatments have occurred in the past five years. MATERIAL AND METHODS: PubMed, Cinahl and Swedmed+ were searched using the terms CIM, CIP and intensive care. The search was narrowed by adding the limits: humans, English, Danish, Norwegian, Swedish and, furthermore, articles had to have been published in the past five years as we aimed to focus on new knowledge...
October 2012: Danish Medical Journal
https://www.readbyqxmd.com/read/23076914/interventions-for-primary-intrinsic-tracheomalacia-in-children
#14
REVIEW
Vikas Goyal, I Brent Masters, Anne B Chang
BACKGROUND: Tracheomalacia, a disorder of the large airways where the trachea is deformed or malformed during respiration, is commonly seen in tertiary paediatric practice. It is associated with a wide spectrum of respiratory symptoms from life-threatening recurrent apnoea to common respiratory symptoms such as chronic cough and wheeze. Current practice following diagnosis of tracheomalacia includes medical approaches aimed at reducing associated symptoms of tracheomalacia, ventilation modalities of continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP), and surgical approaches aimed at improving the calibre of the airway (airway stenting, aortopexy, tracheopexy)...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23017879/congenital-and-acquired-developmental-problems-of-the-upper-airway-in-newborns-and-infants
#15
REVIEW
Marie Lyons, Petros V Vlastarakos, Thomas P Nikolopoulos
AIM: To review the current knowledge on congenital and acquired developmental problems of the upper airway in newborns and infants. DATA SYNTHESIS: Causes of airway obstruction include problems with the nasal airway (choanal atresia), craniofacial syndromes (Apert syndrome, Crouzon syndrome), problems with facial/tongue anatomy (Pierre-Robin syndrome), the tongue (Down syndrome), or the larynx (laryngomalacia, vocal cord palsy, subglottic stenosis, subglottic hemangioma), along with lower developmental problems (tracheo/bronchomalacia)...
December 2012: Early Human Development
https://www.readbyqxmd.com/read/22336805/chest-physiotherapy-for-acute-bronchiolitis-in-paediatric-patients-between-0-and-24-months-old
#16
REVIEW
Marta Roqué i Figuls, Maria Giné-Garriga, Claudia Granados Rugeles, Carla Perrotta
BACKGROUND: This is an update of the original Cochrane review published in 2005 and updated in 2007. Acute bronchiolitis is the leading cause of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is thought to assist infants in the clearance of secretions and to decrease ventilatory effort. OBJECTIVES: The main objective was to determine the efficacy of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis...
2012: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/21666530/the-unique-contribution-of-manual-chest-compression-vibrations-to-airflow-during-physiotherapy-in-sedated-fully-ventilated-children
#17
Rachael K Gregson, Harriet Shannon, Janet Stocks, Tim J Cole, Mark J Peters, Eleanor Main
OBJECTIVE: This study aimed to quantify the specific effects of manual lung inflations with chest compression-vibrations, commonly used to assist airway clearance in ventilated patients. The hypothesis was that force applied during the compressions made a significant additional contribution to increases in peak expiratory flow and expiratory to inspiratory flow ratio over and above that resulting from accompanying increases in inflation volume. DESIGN: Prospective observational study...
March 2012: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/21605484/high-frequency-chest-wall-oscillation-in-a-noninvasive-ventilation-dependent-patient-with-type-1-spinal-muscular-atrophy
#18
Joanna M Keating, Nicola Collins, Andrew Bush, Michelle Chatwin
With the recent increased use of noninvasive ventilation, the prognoses of children with neuromuscular disease has improved significantly. However, children with muscle weakness remain at risk for recurrent respiratory infection and atelectasis. We report the case of a young girl with type 1 spinal muscular atrophy who was dependent on noninvasive ventilation, and in whom conventional secretion-clearance physiotherapy became insufficient to clear secretions. We initiated high-frequency chest-wall oscillation (HFCWO) as a rescue therapy, and she had improved self-ventilation time...
November 2011: Respiratory Care
https://www.readbyqxmd.com/read/20927359/effectiveness-of-chest-physiotherapy-in-infants-hospitalized-with-acute-bronchiolitis-a-multicenter-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Vincent Gajdos, Sandrine Katsahian, Nicole Beydon, Véronique Abadie, Loïc de Pontual, Sophie Larrar, Ralph Epaud, Bertrand Chevallier, Sylvain Bailleux, Alix Mollet-Boudjemline, Jean Bouyer, Sylvie Chevret, Philippe Labrune
BACKGROUND: Acute bronchiolitis treatment in children and infants is largely supportive, but chest physiotherapy is routinely performed in some countries. In France, national guidelines recommend a specific type of physiotherapy combining the increased exhalation technique (IET) and assisted cough (AC). Our objective was to evaluate the efficacy of chest physiotherapy (IET + AC) in previously healthy infants hospitalized for a first episode of acute bronchiolitis. METHODS AND FINDINGS: We conducted a multicenter, randomized, outcome assessor-blind and parent-blind trial in seven French pediatric departments...
September 28, 2010: PLoS Medicine
https://www.readbyqxmd.com/read/20573738/outcome-of-goal-directed-non-invasive-ventilation-and-mechanical-insufflation-exsufflation-in-spinal-muscular-atrophy-type-i
#20
M Chatwin, A Bush, A K Simonds
BACKGROUND: There are widely discrepant views on the respiratory management of infants with spinal muscular atrophy (SMA) type I. Typically, management is palliative. DESIGN: A descriptive study of interventions and investigations is reported that were offered to a cohort of 13 children with SMA type I referred to our centre. Interventions and investigations included sleep studies, provision of non-invasive positive pressure ventilation (NIPPV) for ventilatory support/dependency and for physiotherapy and the use of mechanical insufflation/exsufflation (MI-E)...
May 2011: Archives of Disease in Childhood
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