Indications de la ventilation à percussions intrapulmonaires (VPI) : revue de la littérature

Riffard, Guillaume; Toussaint, Michel

doi:10.1016/j.rmr.2011.12.005

Cited by 21 publications

(3 citation statements)

References 39 publications

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“…A recent review suggests that the systematic use of IPV as airway clearance technique in chronic obstructive airway diseases is not supported by sufficiently strong evidence to recommend routine use in this patient population [2]. However, many authors propose IPV as airway clearance technique that may offer valuable assistance in the treatment of severe respiratory diseases refractory to conventional respiratory therapy techniques [3,4]. One study in cystic fibrosis patients demonstrated that IPV at high frequency increased FEV1 and FVC compared to other techniques [5].…”

Section: Discussionmentioning

confidence: 99%

Can percussive intrapulmonary ventilation improve the efficacy of physiotherapy in children with cystic fibrosis?

Innocenti

Castellani

Masi

et al. 2023

Monaldi Arch Chest Dis

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Lung disease in cystic fibrosis (CF) is characterized by reduced mucociliary clearance, airway plugging, recurrent infections and chronic pulmonary inflammation. Patients who are affected undergo daily respiratory physiotherapy to improve airway clearance. Intrapulmonary percussive ventilation (IPV) is a technique used in clinical practice, but it is not commonly used in CF patients. Evidence in various respiratory pathologies, particularly in children, is still lacking. We present the case of an eleven-year-old boy with cystic fibrosis who did not respond to traditional respiratory physiotherapy techniques. We proposed and tested the use of IPV during hospitalization. In this case, the use of IPV in physiotherapy treatment reduced the need for intravenous antibiotics, hospitalization, and improved radiologic features. IPV can be used successfully in CF patients who are resistant to traditional physiotherapy techniques.

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Section: Discussionmentioning

confidence: 99%

Can percussive intrapulmonary ventilation improve the efficacy of physiotherapy in children with cystic fibrosis?

Innocenti

Castellani

Masi

et al. 2023

Monaldi Arch Chest Dis

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“…The Impulsator R is basically composed of a flow generator, which provides pulsatile flow, and of a mouthpiece, called Phasitron R Duo TM (Percussionaire Corporation), connected by specific tubing to the generator (figure 1). The system presents simplified settings compared to other IPV systems designed for hospital and intensive care (like IPV R -1 and VDR-4 R , Percussionaire Corporation) but it shares with them the principles of operation (Riffard and Toussaint 2012). The Impulsator R only allows a joined adjustment of frequency and amplitude of percussions of the air flow generator by turning a knob, passing from 'easy' (E) to 'hard' (H) through 'average' (A) position.…”

Section: Equipmentmentioning

confidence: 99%

“…Intrapulmonary percussive ventilation (IPV) is an airway clearance technique introduced as an alternative to conventional chest physiotherapy to facilitate airway clearance and to preserve lung function in patients with chronic obstructive pulmonary diseases (COPD) and, in particular, with cystic fibrosis (Chatburn 2007, Flume et 2009). IPV is an adaptation of high frequency percussive ventilation, which promotes airway vibrations by injecting rapid bursts of air into the lung via the mouth (Riffard and Toussaint 2012). The air pulses, superimposed on a normal spontaneous breathing pattern, are believed to go deep into the lung loosening the mucus, enhancing clearance of secretions and, on the whole, delaying lung damage (Rogers and Doull 2005, Marks 2007).…”

Section: Introductionmentioning

confidence: 99%

Characterization of the mechanical behavior of intrapulmonary percussive ventilation

2013

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A new device delivering intrapulmonary percussive ventilation (IPV), called Impulsator® (Percussionaire Corporation, Sandpoint, ID, USA), has recently been introduced in an effort to provide effective clearance and to promote homogeneity of ventilation in the lungs of patients with cystic fibrosis. In order to optimize the treatment based on its use, a better understanding of its functioning is still necessary. In fact, up to now, a complete characterization of this device has not been carried out, thus reducing its effective utilization in clinical practice. With the aim of overcoming this lack, in this study, data concerning flow and pressure delivered during in vitro IPV were acquired under different combinations of device settings and respiratory loads. Quantitative information was obtained about the physical variables administered by the device like percussive frequency, ratio of inspiratory to expiratory time, flow and pressure magnitudes and volume exchanged. The analysis of the data determined the relations among these variables and between them and the mechanical loads, laying the basis for an optimal clinical application of the device.

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The effect of intrapulmonary percussive ventilation in pediatric patients: A systematic review

Lauwers

Ides

Hoorenbeeck

et al. 2018

Pediatric Pulmonology

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Indications de la ventilation à percussions intrapulmonaires (VPI) : revue de la littérature

Cited by 21 publications

References 39 publications

Can percussive intrapulmonary ventilation improve the efficacy of physiotherapy in children with cystic fibrosis?

Can percussive intrapulmonary ventilation improve the efficacy of physiotherapy in children with cystic fibrosis?

Characterization of the mechanical behavior of intrapulmonary percussive ventilation

The effect of intrapulmonary percussive ventilation in pediatric patients: A systematic review

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