Hiperinsuflação manual: revisão de evidências técnicas e clínicas

Nunes, Guilherme S.; Botelho, Guilherme Varela; Schivinski, Camila Isabel Santos

doi:10.1590/s0103-51502013000200020

Cited by 3 publications

(3 citation statements)

References 32 publications

(63 reference statements)

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“…Manual hyperinflation is one of the most used chest physiotherapy techniques in critically ill patients and consists of administering a gaseous volume greater than that performed by the patient [1]. It was developed for the possible removal of secretions and re-expansion of areas with atelectasis, thus improving lung compliance and oxygenation in mechanically ventilated patients.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique

Rodrigues¹,

Felix²,

Guimarães³

et al. 2023

Int J Respir Pulm Med

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Background: Manual hyperinflation is one of the most used respiratory physiotherapy techniques in critically ill patients and consists of administering a higher volume of gaseous fluid than the patient performed using a self-inflating balloon (AMBU). This technique was developed with the objective of removing bronchial secretion and re-expansion of atelectasis lung areas, thus improving pulmonary compliance and oxygenation in mechanically ventilated patients. Objectives:To demonstrate the peak flow variation generated during the physiotherapeutic technique of abrupt manual hyperinflation in an experimental model according to gender and classification among physiotherapists and physicists. Methods:The analytical and exploratory study included 115 participants, who were instructed to carry out the technique of abrupt manual hyperinflation with the AMBU connected to the device of measuring the peak of three times. Data were analyzed descriptively, according to gender and educational level, Shapiro-Wilk test, t-test and Pearson's correlation coefficient between the mean PEF, height and age variables. Results:The sample consisted of women (74%) and physiotherapists (75%), with a mean of 22.71 ± 5.75 years of age, 116.74 ± 8.36 cm of height and 322.03 + 45.78 l/min peak flow. There was a significant difference between the genders for mean PEF (P = 0.000), for age (P = 0.002) and for height (P = 0.000) and between the average PEF (P = 0.001) and for the age (P = 0.000).Conclusions: Factors such as male gender, educational level and age were positively influenced by the mean peak expiratory flow generated by the manual hyperinflation technique.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique

Rodrigues¹,

Felix²,

Guimarães³

et al. 2023

Int J Respir Pulm Med

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“…The application time varies from 5 to 30 minutes [6,12,14]. The combined use of physical therapy techniques, such as postural drainage and MHI may potentiate their benefits and contribute to a more lasting effect on patients' clinical stability and hemodynamics [17].…”

Section: Introductionmentioning

confidence: 99%

Manual hyperinflation and the role of physical therapy in intensive care and emergency units

et al. 2017

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Introduction: Although manual hyperinflation (MHI) is a physical therapy technique commonly used in intensive care and emergency units, there is little consensus about its use. Objective: To investigate the knowledge of physical therapists working in intensive care and emergency units about manual hyperinflation. Methods: Data were collected through self-administered questionnaires on manual hyperinflation. Data collection took place between September 2014 and January 2015, in Itabuna and Ilhéus, Bahia, Brazil. Results: The study sample was composed of 32 physical therapists who had between 4 months and 10 years working experience. All respondents affirmed that they used the technique in their professional practice. However, only 34.4% reported it to be a routine practice. 90.6% stated that the most common patient position during manual hyperinflation is “supine”. Participants were almost unanimous (93.8%) in citing secretion removal and cough stimulation as perceived benefits of MHI. High peak airway pressure was identified as being a precaution to treatment with MHI by 84.4% of participants, whilst 100% of the sample agreed that an undrained pneumothorax was a contraindication to MHI. Conclusion: The most common answers to the questionnaire were: supine position during MHI; secretion removal and cough stimulation as perceived benefits; high peak airway pressure as a precaution; and an undrained pneumothorax as a contraindication.

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“…De acordo comNunes et al, (2013) a técnica de hiperinsuflação manual (HM) ou também conhecida como bag squeezing, foi relatada primeiro por Hubsch e Clement no ano de 1968, como basicamente um recurso para melhorar a oxigenação antes e após a aspiração traqueal, com objetivo de estimular o excesso de secreções assim promovendo a reexpansão pulmonar. SegundoGodoy et al (2013), a HM é uma técnica bastante executada pelos fisioterapeutas para o tratamento de pacientes que necessitam de cuidados intensivos, com o simples objetivo de realizar de maneira passiva a insuflação pulmonar, que acaba contribuindo para que ocorra um aumento do pico de fluxo Brazilian Journal of Development, Curitiba, v.8, n.11, p. 74336-74345, nov., 2022 expiratório que acaba levando a um deslocamento das secreções que se encontram acumuladas nas vias aéreas.…”

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Técnicas em fisioterapia respiratória para a remoção de secreção em recém-nascidos internados na UTI neonatal: uma revisão de literatura

Dias¹,

Geber²,

Souza³

et al. 2022

BJDV

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Introdução: As técnicas de remoção de secreção são descritas particularmente na literatura como a fisioterapia respiratória convencional e dentre elas compreendem- se aquelas que são as mais utilizadas como, o Aumento do Fluxo expiratório lento (AFE Lento), vibro compressão manual, hiperinflação manual (HM) e a não menos importante aspiração endotraqueal. As técnicas de remoção de secreção garantem efeitos terapêuticos necessários para os neonatos na remoção de secreções nas vias aéreas, reduzindo o trabalho respiratório e reduzindo as lesões associadas à ventilação mecânica, melhorando assim sua apneia e o desconforto respiratório e dentre outros fatores. Objetivo: Analisar com base na literatura quais técnicas é utilizada para favorecer a higiene brônquica. Metodologia: Trata-se de uma revisão de literatura utilizando o método de pesquisa dedutivo, hipotético e com objetivo descritivo. Resultados: Elucidar com base na literatura quais técnicas baseadas em evidências é utilizado para remoção de secreção em recém-nascidos. Considerações finais: Estima se que os resultados deste estudo ampliem mais o conhecimento sobre a execução e o efeito de tais técnicas em RNs, o que leva a comprovação da eficácia da higiene brônquica, assim sobressaltando a importância da fisioterapia respiratória.

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Hiperinsuflação manual: revisão de evidências técnicas e clínicas

Cited by 3 publications

References 32 publications

Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique

Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique

Manual hyperinflation and the role of physical therapy in intensive care and emergency units

Técnicas em fisioterapia respiratória para a remoção de secreção em recém-nascidos internados na UTI neonatal: uma revisão de literatura

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