The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Intrapulmonary percussive ventilation

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Institution
Escola Superior de Saúde Atlântica (EIA, SA)
Institution Typology
University
Country
Portugal
Description
This technique is characterized by the use of high-frequency oscillatory ventilation to produce endotracheal percussion through the mouth, using a device called a percussionator. Percussive bursts of high-flow respiratory air are administered throughout the respiratory cycle at high rates.
Disease
Cystic Fibrosis
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available
Innovation
The Percussionator causes an oscillating air flow that vibrates the endobronchial walls to loosen and mobilize secretions towards the upper airways and oral pharynx.
Evaluation System
A pilot study compared autogenous drainage with intrapulmonary percussive ventilation (IPV). The aims of this study were to evaluate the effect of IPV on the bacterial load in FQ sputum, on lung function and on the gene expression of P aeruginosa.
Assessment
The frequency of IPV used can influence the effectiveness of this treatment modality.
References
Rocamora-Pérez, P., Benzo-Iglesias, M. J., Valverde-Martinez, M. D. L. A., García-Luengo, A. V., Aguilar-Parra, J. M., Trigueros, R., & López-Liria, R. (2022). Effectiveness of positive expiratory pressure on patients over 16 years of age with cystic fibrosis: systematic review and meta-analysis. Therapeutic Advances in Respiratory Disease, 16, 17534666221089467. journals.sagepub.com/doi/full/10.1177/17534666221089467" target="_blank">journals.sagepub.com/doi/full/10.1177/17534666221089467" target="_blank">journals.sagepub.com/doi/full/10.1177/17534666221089467


Morrison, L., & Milroy, S. (2020). Oscillating devices for airway clearance in people with cystic fibrosis. Cochrane database of systematic reviews, (4). www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006842.pub5/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006842.pub5/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006842.pub5/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006842.pub5/pdf/full


Burnham, P., Stanford, G., & Stewart, R. (2021). Autogenic drainage for airway clearance in cystic fibrosis. Cochrane Database of Systematic Reviews, (12). www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full


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Carla Raposo, ULSSM - Portugal (PT)
extremely important study to confirm therapeutic techniques in people with cystic fibrosis

Ricardo Sousa Mestre, Escola Superior de Saúde Atlântica - Portugal (PT)
Great article, useful knowledge.