Volume 12 Number 2 (original) (raw)
Related papers
ACCP Evidence-Based Clinical Practice Guidelines
2016
Background: Airway clearance may be impaired in disorders associated with abnormal cough mechanics, altered mucus rheology, altered mucociliary clearance, or structural airway defects. A variety of interventions are used to enhance airway clearance with the goal of improving lung mechanics and gas exchange, and preventing atelectasis and infection. Method: A formal systematic review of nonpharmacologic protussive therapies was performed and constitutes the basis for this section of the guideline. In addition, the articles reviewed were found using the same methodology but were not limited to those that focused only on cough as a symptom. The MEDLINE database was searched for this review and consisted of studies published in the English language between 1960 and April 2004. The search terms used were "chest physiotherapy," "forced expiratory technique," "positive expiratory pressure," "high frequency chest compression," "insufflation," and "exsufflation." Results: In general, studies of nonpharmacologic methods of improving cough clearance are limited by methodological constraints, and most were conducted only in patients with cystic fibrosis. Chest physiotherapy, including postural drainage, chest wall percussion and vibration, and a forced expiration technique (called huffing), increase airway clearance as assessed by sputum characteristics (ie, volume, weight, and viscosity) and clearance of the radioaerosol from the lung, but the long-term efficacy of these techniques compared with unassisted cough alone is unknown. Other devices that allow patients to achieve the same benefits derived from chest physiotherapy without the assistance of a caregiver appear to be as effective as chest physiotherapy in increasing sputum production. Conclusions: Some nonpharmacologic therapies are effective in increasing sputum production, but their long-term efficacy in improving outcomes compared with unassisted cough alone is unknown.
Effect of Incentive Spirometry on Recovery of Post-Operative Patients: Pre Experimental Study
Journal Of Nursing Practice
Background: Post-operative care is management of patients after any surgery. The main goal of post-operative care is to prevent complications i.e. atelectasis and infection. The other objective is early healing of the surgical incision and return of patient to a state of health. About 17% to 88% of people in postoperative duration will have decreased lung volumes. This decreased lung volume problem can be solved with use of incentive spirometry in postoperative period on Day 1. Incentive spirometer is perioperative respiratory therapy given to postoperative patients to improve lung volume of patients and hasten recovery of patients also.Purpose: This study aimed to identify effect of Incentive spirometry on postoperative patient’s recovery.Methods: It was pre-experimental study with pretest- posttest design only, which was done on post-operative patients at All India Institute of Medical Sciences (AIIMS), Rishikesh.Results: Majority (52 %) of participants were 41 to 50 years age gro...
I N THE FIRST OF THIS 2-PART ARTICLE on using qualitative research 1 we described a hospital's continuous quality improvement committee initiative to introduce a medical form designed to enhance patient-clinician communication about cardiopulmonary resuscitation. The clinician in this scenario wondered whether the impact of introducing such a document had been evaluated with respect to its influence on patient-clinician communication. She found the study by Ventres et al 2 and critically appraised its validity.
From science to everyday clinical practice. Need for systematic evaluation of research findings
Scandinavian Journal of Primary Health Care, 1999
terms of professionals, administrators, politicians and patients should be better suited to decide if implementation of a new treatment This paper focuses on problems attached to using scientific results in should take place. Such procedures will give the population and the everyday clinical practice. Based on examples we raise the question: politicians more realistic expectations of the contributions of medical Are research results obtained under ideal scientific conditions, prescience and the health services in general. sented to health professionals and the public in a way that creates unrealistic expectations of the health services? We suggest that the Key words: clinical practice, research, quality development, technolclinical researcher, when reporting scientific results, should be obliged ogy assessment. to consider technological aspects, i.e. the human and monetary cost, effectiveness, compliance, the expected consequence for the patient, Torsten Lauritzen, MD, Department of General Practice, Høeghprofessionals and society, and resources needed to accomplish it. Guldbergs Gade 8,