Airway Clearance Techniques: The Right Choice for the Right Patient

Frontiers in Medicine

Elena Paracchini¹  Davide Cattaneo¹  Ilaria Prince¹  Gloria Savio¹  Francesca Masocco¹  Maria Teresa Bellanti¹  Bruno Balbi¹  Manuela Bianchi¹  Stefano Belli² 

[1] Pulmonary Rehabilitation Department, Istituti Clinici Scientifici Maugeri, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS), Institute of Veruno, Novara, Italy;null;

关键词: airway clearance techniques;    disability;    rehabilitation;    COPD;    bronchiectasis;    amyotrophic lateral sclerosis;    positive pressure;    negative pressure;   

DOI  :  10.3389/fmed.2021.544826

来源: Frontiers

【 摘 要 】

The management of bronchial secretions is one of the main problems encountered in a wide spectrum of medical conditions ranging from respiratory disorders, neuromuscular disorders and patients undergoing either thoracic or abdominal surgery. The purpose of this review is illustrate to the reader the different ACTs currently available and the related evidence present in literature. Alongside methods with a strong background behind as postural drainage, manual techniques or PEP systems, the current orientation is increasingly aimed at devices that can mobilize and / or remove secretions. Cough Assist, Vacuum Techniques, systems that modulate airflow have more and more scientific evidence. Different principles combination is a new field of investigation that goes toward an increasing of clinical complexity that will facing us.

【 授权许可】

CC BY