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Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Appendix
Furthermore, the magnitude of the differences observed herein was small and without clinical importance. This is especially reassuring as the sample size in any pilot study is limited and large or meaningful differences might not be detected, given the comparatively reduced statistical power provided. Canada health and care mall review This is not the case […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Conclusion
There are few published studies that examine the efficacy and safety of IPV in clinical settings. In a study involving ventilator-dependent patients with adult respiratory distress syndrome, patients ventilated with the IPV-1 had significantly better oxygenation and improved carbon dioxide elimination compared with those patients receiving conventional ventilation at the same positive end-expiratory pressures and […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Discission
No direct relationship between disease severity and response to any respiratory treatment was observed, except for patients receiving IPV. In that case, more severe disease was significantly correlated with greater improvement in FEF25-75 1 h after treatment (r2=0.47, p=0.04), but these differences disappeared by 4 h. Overall, the respiratory treatments had little differential effects on […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Results
To compare the effects of standard treatment to IPV and to HVA/IPV, within-person statistical analyses were performed for both PFTs and sputum properties. For PFT comparisons, pretreatment and posttreatment PFTs were calculated as percentage of predicted, based on age-appropriate Morris et al or Polgar et al standards for each participant during each treatment. Then the […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Materials
Participants went without breakfast and received regularly prescribed oral medications, but did not receive home chest physiotherapy on each morning of the study. Pulmonary function testing (PFT), including forced vital capacity (FVC), forced expiratory volume in 1 s (FEVi), peak expiratory flow (PEF), and mean forced expiratory flow during the middle half of vital capacity […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy: Methods
The two most salient innovations provided by IPV-1 with respect to its application in CF therapy include (1) the simultaneous combination of mechanical with pharmacologic interventions (aerosols) to mobilize endobronchial secretions, and (2) the development of a patient-operated device for chest physiotherapy which may allow greater independence for the adolescent and adult with CF. To […]
Comparison of Intrapulmonary Percussive Ventilation and Chest Physiotherapy
The management of the pulmonary complications of cystic fibrosis (CF) focuses on the enhancement of mucociliary clearance to optimize gas exchange and minimize infections due to mucostasis. Achieving this end involves the following: (1) removing mucus from the airways with mechanical or manual chest percussion and postural drainage (P&PD) and cough; (2) increasing airway caliber […]
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