Chest Physical Therapy in Acute Viral Bronchiolitis: An Updated Review

Postiaux, Guy; Zwaenepoel, Bert; Louis, Jacques

doi:10.4187/respcare.01890

Cited by 32 publications

(31 citation statements)

References 48 publications

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“…In addition, there is a current proposal to implement the clinical severity score to assess indications and contraindications for chest physiotherapy in children with acute viral bronchiolitis, suggesting that infants classified as moderate would benefit most from its indication compared with those with mild or severe conditions. 20 Results from the present study also demonstrate that previous classification using the clinical severity score can contribute to a more precise indication and, consequently, to obtaining favorable clinical outcomes with the use of respiratory therapy techniques in infants with acute viral bronchiolitis.…”

Section: Discussionsupporting

confidence: 64%

Rhinopharyngeal Retrograde Clearance Induces Less Respiratory Effort and Fewer Adverse Effects in Comparison With Nasopharyngeal Aspiration in Infants With Acute Viral Bronchiolitis

et al. 2016

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The use of retrograde rhinopharyngeal clearance in the management of infants with acute viral bronchiolitis can be an alternative for the clearance of the upper airways, since it showed immediate positive effects on the occurrence of complications and signs of respiratory effort compared with nasopharyngeal aspiration. Children classified with a moderate clinical score appear to benefit the most. (ClinicalTrials.gov registration NCT02460614.).

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Section: Discussionsupporting

confidence: 64%

Rhinopharyngeal Retrograde Clearance Induces Less Respiratory Effort and Fewer Adverse Effects in Comparison With Nasopharyngeal Aspiration in Infants With Acute Viral Bronchiolitis

et al. 2016

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“…Some evidence suggests that there is a benefit of the forced exhalation technique, but additional research is needed. 81 The current evidence does not support routine use of CPT to treat bronchiolitis in children.…”

Section: Review Of Current Evidencementioning

confidence: 88%

Continuing to Challenge Practice to Be Evidence Based

Makic

Rauen

Jones

et al. 2015

Critical Care Nurse

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E nsuring that we provide safe, evidence-based, cost-effective care to all patients is an assumption of today's health care system. All patients and health care providers should expect a health care system that is committed to preventing harm and improving patient care by having clinicians use evidence-based safe practices.1 The call for evidence-based practice (EBP) was made in the hallmark publication of the Institute of Medicine's report "To Err Is Human" more than a decade ago. Feature 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. For weight-based administration of medication, the patient's actual weight should be measured, rather than using an estimate. The therapeutic effectiveness and dosages of medications used in obese patients must be critically evaluated. Maintaining patency of chest tubes does not require stripping and milking, which probably do more harm than good. Daily interruption of sedation and judicious use of sedatives are appropriate in most patients receiving mechanical ventilation. Traditional chest physiotherapy does not help children with pneumonia, bronchiolitis, or asthma and does not prevent atelectasis after extubation. Critical care nurses are challenged to evaluate their individual practice and to adopt current evidence-based practice interventions into their daily practice. (Critical Care Nurse. 2015;35[2]:39-50)

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“…Dernièrement, une méta-analyse de la Cochrane Collaboration [24], critiquée par G. Postiaux [25], a repris 5 essais cliniques (n = 246 patients) ayant utilisé la technique de percussion/vibration et 4 essais (n = 645 patients), la technique d'accélération du flux, dont 1 ayant couplé accé-lération du flux et ELP. Les critères d'évaluation étaient les paramètres respiratoires, l'oxygéno-dépendance, la durée d'hospitalisation et les effets indésirables.…”

Section: Comparaison Des Techniques De Kinésithérapie Respiratoireunclassified