Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis

McIlwaine, Maggie; Button, Brenda; Nevitt, Sarah J

doi:10.1002/14651858.cd003147.pub5

Cited by 47 publications

(64 citation statements)

References 59 publications

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“…The study reported an increase in the requirement of antibiotics for exacerbations (OR ¼ 4.10 [1.42-11.84]) for oscillation devices compared with PEP. This study is the same one reported in the review by McIlwaine et al 17 (described earlier). For number of hospitalizations, one study of 42 subjects found no significant difference between groups.…”

Section: Summary and Interpretation Of The Evidence For Cf Bronchiectsupporting

confidence: 89%

See 1 more Smart Citation

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

Hill

Barker

Bolser

et al. 2018

Chest

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Section: Summary and Interpretation Of The Evidence For Cf Bronchiectsupporting

confidence: 89%

“…A Cochrane review by McIlwaine et al 17 compared PEP vs oscillating devices and evaluated the outcome of exacerbations. Four studies were examined, and data were analyzed for two studies that were both rated as having low risk of bias by the reviewing authors.…”

Section: Summary and Interpretation Of The Evidence For Cf Bronchiectmentioning

confidence: 99%

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

Hill

Barker

Bolser

et al. 2018

Chest

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show abstract

“…The treatment of patients with CF requires a multidisciplinary approach where physiotherapy is a key component. [29][30][31] Exercise, as a complement to physiotherapy, helps to increase airway clearance and physical fitness. 3,9 Furthermore, exercise in patients with CF has shown to provide additional positive effects on body composition, 9,13,14 bone heath, 32,33 and inflammation.…”

Section: Discussionmentioning

confidence: 99%

Physical exercise as a tool to minimize the consequences of the Covid‐19 quarantine: An overview for cystic fibrosis

Fernández-del-Valle

Donadio

Pérez‐Ruiz

2020

Pediatric Pulmonology

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Coronavirus (SARS-CoV-2) outbreak leading to the coronavirus disease (Covid-19) has become a global pandemic. Patients with Cystic fibrosis are considered of major risk, as respiratory tract infections are more severe than in the general population, with a higher risk of complications and a negative impact on lung function. The performance of physical exercise is considered as key for its well-known general benefits and also as a complementary method to help airway clearance. Therefore, physical exercise is also considered as key in the therapeutic strategy during the quarantine period. However, the impossibility to perform exercise with appropriate prescription and monitoring is of considerable worry to health care professionals.

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“…These patients showed improvement in lung aeration, as measured by the residual volume, which was also estimated through computed tomography (Liao, Chen, & He, ). The increase in the tidal and residual volumes by positive pressure (McIlwaine, Button, & Dwan, ; Soilemezi, Koco, Oikonomou, Georgiadis, & Matamis, ), in addition to the internal pressure exerted to a level of 15 cmH 2 O in airways with consequent parenchymal tissue distention, was probably responsible for the increase of the expanded lung area.…”

Section: Discussionmentioning

confidence: 99%

Comparing high and low levels of continuous positive airway pressure on lung aeration in patients with pleural drainage: A feasibility study for a randomized controlled trial

Santos

Campos

Carmo

et al. 2018

Physiotherapy Res Intl

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Objective:We explored the feasibility of use of continuous positive airway pressure (CPAP) with 15-and 4-cmH 2 O for a randomized controlled trial with patients with pleural drainage.Methods: Ten patients with traumatic pleural effusion drained within 24 hr, with controlled pain received randomly CPAP with 0-, 4-, and 15-cmH 2 O. Computed tomography was used to assess the lung aeration. Patients reported the level of tolerability. Air leak was also observed as a parameter of safety. The levels of pressure were compared using the Friedman test followed by the Tukey test as post hoc. Results:The lung area under CPAP with 15 cmH 2 O (median = 3,913 mm 2 ; IQR = 3,416-4,390 mm 2 ) was greater than 4 (median = 3,495 mm 2 ; IQR = 3,075-3,954 mm 2 ) and 0 cmH 2 O (median = 3,382 mm 2 ; IQR = 2,962-3,658 mm 2 ; p < 0.001). There was no difference between lung areas under CPAP with 4 and 0 cmH 2 O. All levels of pressure were well tolerated by patients. No air leak was observed during the assessments.Conclusion: CPAP with 15 cmH 2 O is able to expand lungs of patients with pleural drainage. CPAP with 4 cmH 2 O seems not have therapeutic effect. In addition, CPAP with 15 cmH 2 O is well tolerated and safe in this population. KEYWORDScontinuous positive airway pressure, computerized tomography, pleural effusion, thoracic surgery

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Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis

Cited by 47 publications

References 59 publications

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

Physical exercise as a tool to minimize the consequences of the Covid‐19 quarantine: An overview for cystic fibrosis

Comparing high and low levels of continuous positive airway pressure on lung aeration in patients with pleural drainage: A feasibility study for a randomized controlled trial

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