Intermittent positive pressure breathing in the cardiac surgery setting: A review

2016 ◽  
Vol 23 (12) ◽  
pp. 567-573
Author(s):  
Massimiliano Polastri ◽  
Sofia Martin-Suarez ◽  
Jacopo Alfonsi ◽  
Carlo Savini
Keyword(s):  
Cardiac Surgery ◽  
Positive Pressure ◽  
Intermittent Positive Pressure Breathing

The Effects of Mechanical Insufflation-Exsufflation on Lung Function and Complications in Cardiac Surgery Patients

2020 ◽  
Author(s):  
Meng-Fang Wu ◽  
Tsai-Yu Wang ◽  
Da-Shen Chen ◽  
Shou-Fong Shiao ◽  
Han-Chuang Hu ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Chest Pain ◽  
Lung Function ◽  
Clinical Outcomes ◽  
Tertiary Hospital ◽  
Forced Expiratory Volume ◽  
Pulmonary Complications ◽  
Positive Pressure ◽  
Lung Expansion ◽  
Intermittent Positive Pressure Breathing

Abstract Background: Postoperative positive pressure lung expansion is associated with decreased pulmonary complications and improved clinical outcomes. The aim of the present study was to compare the differences in post-operative pulmonary complications and clinical outcomes between two groups of study subjects who underwent cardiac surgery; one included subjects who received mechanical insufflation-exsufflation (MI-E) and the other included subjects who received intermittent positive pressure breathing (IPPB) therapy.Methods: This retrospective study included 48 subjects, who underwent cardiac surgery in an intensive care unit of a tertiary hospital during the time period from June 2017 to February 2018. After liberation from mechanical ventilation, the subjects received lung expansion therapy by means of two type of positive pressure devices, MI-E (n=20) or IPPB (n=28). The pulmonary complications, lung function, and clinical outcomes were compared between the two groups.Results: Subjects in both groups displayed similar baseline characteristics and underwent similar types of surgical procedures. Compared to subjects who received non-oscillatory therapy, those who received MI-E therapy had higher post-operative force vital capacity (58.9±4.96 % vs. 45.21±3.60 %, p=0.026), forced expiratory volume in one second (63.35±5.4 % vs. 45.48±3.63 %, p=0.007), and peak flow rate (68.5±5.53 % vs. 54.75±4.11 %, p=0.047). However, the incidence of chest pain was higher in the MI-E group (n=13, 65%) than in the IPPB group (n=4, 14.3%; odds ratio, 11.14, 95% confidence interval, 2.74-45.26; p=0.001). The length of hospital and ICU stay, development of atelectasis, pneumonia, and pleural effusion were similar in both the groups.Conclusion: Both IPPB and MI-E therapies have similar effects on preventing post-operative complications in cardiac surgery patients. However, compared to IPPB therapy, MI-E therapy was associated with improved pulmonary function and higher incidence of chest pain.

scholarly journals The Effects of Mechanical Insufflation-Exsufflation on Lung Function and Complications in Cardiac Surgery Patients: A Pilot Study

2020 ◽  
Author(s):  
Meng-Fang Wu ◽  
Tsai-Yu Wang ◽  
Da-Shen Chen ◽  
Hsiu-Fong Hsiao ◽  
Han-Chuang Hu ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Chest Pain ◽  
Lung Function ◽  
Clinical Outcomes ◽  
Tertiary Hospital ◽  
Forced Expiratory Volume ◽  
Pulmonary Complications ◽  
Positive Pressure ◽  
Lung Expansion ◽  
Intermittent Positive Pressure Breathing

Abstract Background: Postoperative positive pressure lung expansion is associated with decreased pulmonary complications and improved clinical outcomes. The aim of the present study was to compare the differences in post-operative pulmonary complications and clinical outcomes between two groups of study subjects who underwent cardiac surgery; one included subjects who received mechanical insufflation-exsufflation (MI-E) and the other included subjects who received intermittent positive pressure breathing (IPPB) therapy. Methods: This retrospective study included 51 subjects, who underwent cardiac surgery in an intensive care unit of a tertiary hospital during the time period from June 2017 to February 2018. After liberation from mechanical ventilation, the subjects received lung expansion therapy by means of two types of positive pressure devices, MI-E (n=21) or IPPB (n=30). The pulmonary complications, lung function, and clinical outcomes were compared between the two groups. Results: Subjects in both groups displayed similar baseline characteristics and underwent similar types of surgical procedures. Compared to subjects who received non-oscillatory therapy, those who received MI-E therapy had higher post-operative force vital capacity (58.4±4.74 % vs. 46.0±3.70 %, p=0.042), forced expiratory volume in one second (62.4±5.23 % vs. 46.8±3.83 %, p=0.017), and peak flow rate (67.1±5.53 L vs. 55.7±4.44 L p=0.111). However, the incidence of chest pain was higher in the MI-E group (n=13, 61.9%) than in the IPPB group (n=4, 16.7%; odds ratio, 0.123, 95% confidence interval, 0.03-0.45; p=0.002). The length of hospital and ICU stay, development of atelectasis, pneumonia, and pleural effusion were similar in both the groups. Conclusion : Both IPPB and MI-E therapies have similar effects on preventing post-operative complications in cardiac surgery patients. However, compared to IPPB therapy, MI-E therapy was associated with better-preserved pulmonary function and higher incidence of chest pain.

scholarly journals The effects of mechanical insufflation-exsufflation on lung function and complications in cardiac surgery patients: a pilot study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Meng-Fang Wu ◽  
Tsai-Yu Wang ◽  
Da-Shen Chen ◽  
Hsiu-Fong Hsiao ◽  
Han-Chuang Hu ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Chest Pain ◽  
Lung Function ◽  
Clinical Outcomes ◽  
Tertiary Hospital ◽  
Forced Expiratory Volume ◽  
Pulmonary Complications ◽  
Positive Pressure ◽  
Lung Expansion ◽  
Intermittent Positive Pressure Breathing

Abstract Background Postoperative positive pressure lung expansion is associated with decreased pulmonary complications and improved clinical outcomes. The aim of the present study was to compare the differences in post-operative pulmonary complications and clinical outcomes between two groups of study subjects who underwent cardiac surgery; one included subjects who received mechanical insufflation-exsufflation (MI-E) and the other included subjects who received intermittent positive pressure breathing (IPPB) therapy. Methods This retrospective study included 51 subjects, who underwent cardiac surgery in an intensive care unit of a tertiary hospital during the time period from June 2017 to February 2018. After liberation from mechanical ventilation, the subjects received lung expansion therapy by means of two types of positive pressure devices, MI-E (n = 21) or IPPB (n = 30). The pulmonary complications, lung function, and clinical outcomes were compared between the two groups. Results Subjects in both groups displayed similar baseline characteristics and underwent similar types of surgical procedures. Compared to subjects who received non-oscillatory therapy, those who received MI-E therapy had higher post-operative force vital capacity (58.4 ± 4.74% vs. 46.0 ± 3.70%, p = 0.042), forced expiratory volume in one second (62.4 ± 5.23% vs. 46.8 ± 3.83%, p = 0.017), and peak flow rate (67.1 ± 5.53 L vs. 55.7 ± 4.44 L p = 0.111). However, the incidence of chest pain was higher in the MI-E group (n = 13, 61.9%) than in the IPPB group (n = 4, 16.7%; odds ratio, 0.123, 95% confidence interval, 0.03–0.45; p = 0.002). The length of hospital and ICU stay, development of atelectasis, pneumonia, and pleural effusion were similar in both the groups. Conclusion Both IPPB and MI-E therapies have similar effects on preventing post-operative complications in cardiac surgery patients. However, compared to IPPB therapy, MI-E therapy was associated with better-preserved pulmonary function and higher incidence of chest pain.

scholarly journals Positive pressure inspiration differentially affects right and left ventricular outputs in postoperative cardiac surgery patients

1997 ◽  
Vol 12 (2) ◽  
pp. 56-65 ◽  
Author(s):  
Paul C.M. Van den Berg ◽  
Cornelis A. Grimbergen ◽  
Joseph A.E. Spaan ◽  
Michael R. Pinsky
Keyword(s):  
Cardiac Surgery ◽  
Left Ventricular ◽  
Positive Pressure

Intermittent Positive Pressure Breathing in Patients with Respiratory Muscle Weakness

CHEST Journal ◽  
1986 ◽  
Vol 90 (4) ◽  
pp. 546-552 ◽  
Author(s):  
F. Dennis McCool ◽  
Raymond F. Mayewski ◽  
David S. Shayne ◽  
Charles J. Gibson ◽  
Robert C. Griggs ◽  
...  
Keyword(s):  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Positive Pressure ◽  
Respiratory Muscle Weakness ◽  
Intermittent Positive Pressure Breathing

Physiotherapy in chest disease

1980 ◽  
Vol 18 (8) ◽  
pp. 29-31
Keyword(s):  
Respiratory Function ◽  
Positive Pressure ◽  
Forced Expiration ◽  
Breathing Exercises ◽  
Postural Drainage ◽  
Chest Disease ◽  
General Mobility ◽  
Intermittent Positive Pressure Breathing ◽  
Do So

Physiotherapy is given to patients with chest disease in the hope of aiding the removal of secretions, improving respiratory function and increasing general mobility. Evaluating physiotherapy is difficult and until recently few attempts have been made to do so. This article considers the use of postural drainage, chest percussion and vibration, intermittent positive pressure breathing, forced expiration technique, breathing exercises and general exercises for some common chest conditions.

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