scholarly journals Which Assessments and Interventions do Physiotherapists Value in the Management of Adults with Cystic Fibrosis in Australia?

2009 ◽  
Author(s):  
Kathy Stiller ◽  
Dianne White ◽  
Marie Williams
Keyword(s):  
Cystic Fibrosis ◽  
Personal Experience ◽  
Clinical Expertise ◽  
Non Invasive ◽  
Treatment Techniques ◽  
Non Invasive Ventilation ◽  
Hospitalised Patients ◽  
Clinical Scenarios ◽  
Postural Drainage ◽  
Main Components

Purpose: Evidence based practice involves the integration of three main components: best available research evidence, practitioner’s clinical expertise, and patient’s preferences. While the effectiveness of physiotherapy interventions for patients with cystic fibrosis (CF) has been extensively studied, no studies have explored physiotherapists’ perceptions and values concerning their management of patients with CF. The aim of this study was to document the opinions and values that CF physiotherapists in Australia have regarding their management of patients with CF. Method: A purpose-designed questionnaire addressing these issues was mailed to all 38 physiotherapists working with adults with CF on a regular/frequent basis in major Australian healthcare units. Results: Thirty-three questionnaires were returned completed (87%). Subjective history was considered by respondents as the most valuable component of assessment, with personal experience being the primary factor influencing this response. Coughing/huffing was deemed one of the most valuable airway clearance techniques across five different clinical scenarios; non-invasive ventilation, postural drainage, percussion and vibrations were perceived as valuable techniques for unwell, hospitalised patients; and exercise, positive expiratory pressure and flutter therapy/Acapella were considered valuable for out-patients. Personal experience was the factor most often influencing respondents’ opinions about treatment techniques. Conclusions: CF physiotherapists in Australia appear to mainly base their opinions about the value/usefulness of physiotherapy management of adults with CF on their past clinical experience. These data provide an initial insight into CF physiotherapists’ clinical expertise and will give CF clinicians around the world the opportunity to compare their own clinical practice with that of their Australian peers.

The development of oxygen and non-invasive ventilation pathways in an adult cystic fibrosis centre

Physiotherapy ◽  
2019 ◽  
Vol 105 ◽  
pp. e200-e201
Author(s):  
P. Moran ◽  
E. Pilkington ◽  
N. Bell ◽  
K. Bateman ◽  
E. Swingwood
Keyword(s):  
Cystic Fibrosis ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Cystic Fibrosis Centre

scholarly journals Randomised placebo controlled trial of non-invasive ventilation for hypercapnia in cystic fibrosis

Thorax ◽  
2008 ◽  
Vol 63 (1) ◽  
pp. 72-77 ◽  
Author(s):  
A C Young ◽  
J W Wilson ◽  
T C Kotsimbos ◽  
M T Naughton
Keyword(s):  
Cystic Fibrosis ◽  
Controlled Trial ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation

scholarly journals The daily physiotherapy regimen in cystic fibrosis?

1986 ◽  
Vol 42 (3) ◽  
pp. 73-76
Author(s):  
L. M. Davids
Keyword(s):  
Cystic Fibrosis ◽  
Personal Experience ◽  
Recent Literature ◽  
Psychological Impact ◽  
Fibrocystic Disease ◽  
Breathing Exercises ◽  
Postural Drainage ◽  
The Family ◽  
Acute Exacerbations ◽  
Life Threatening

The aim of this paper is to question the accepted physiotherapy regimen for children with Fibrocystic Disease. Is it the most effective way of keeping the lungs clear of secretions? How much are we imposing added stress on an already stressed family? Is it not possible to design a programme which reduces stress and is socially acceptable?The traditional physiotherapy regimen of breathing exercises, postural drainage and percussion is described. Forced expiratory technique is described as well as various forms of nebulisation.The psychological impact on the family of a chronic, life-threatening disease, is discussed. Compliance with set physiotherapy regimens and the family's (especially the mother's) reaction to them is discussed.The most recent literature on the effectiveness of traditional physiotherapy techniques is reviewed.From this review as well as from personal experience, it is concluded that a rigid physiotherapy regimen is stressful and compliance is frequently poor. Suggestions are made on how to overcome this. It is stressed that this paper deals with the home programme, not with the hospital programme for acute exacerbations of the disease.

scholarly journals 220 Non-invasive ventilation (NIV): experience of Cystic Fibrosis Center of Genova

2006 ◽  
Vol 5 ◽  
pp. S51
Author(s):  
R. Casciaro ◽  
A. Amisano ◽  
G. Ottonello ◽  
A. Giannattasio ◽  
A. DeAlessandri ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation

Microbial contamination of non-invasive ventilation devices used by adults with cystic fibrosis

2012 ◽  
Vol 81 (2) ◽  
pp. 104-108 ◽  
Author(s):  
A. Mutagi ◽  
E.F. Nash ◽  
S. Cameron ◽  
G. Abbott ◽  
P. Agostini ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Microbial Contamination ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Non Invasive Ventilation

scholarly journals Effectiveness of non-invasive ventilation in patients with type 2 respiratory failure

2021 ◽  
Vol 9 (3) ◽  
pp. 794
Author(s):  
Shahid M. Patel ◽  
Girija P. Nair ◽  
Balaji G. Tuppekar ◽  
Abhay G. Uppe
Keyword(s):  
Respiratory Failure ◽  
Type Ii ◽  
Invasive Ventilation ◽  
Emergency Visits ◽  
Non Invasive ◽  
First Line Therapy ◽  
Non Invasive Ventilation ◽  
Hospitalised Patients ◽  
Complete History

Background: Assess the use of non-invasive ventilation as an alternative way for ventilation in acute respiratory failure, determine factors that can predict the successful use of NIV, evaluate factors hindering success of NIV.Methods: Thirty hospitalised patients fulfilling inclusion criteria, diagnosed with Type II Respiratory Failure on ABG were recruited after obtaining an informed written consent. Complete history and detailed physical examination were followed by routine investigations.Results: Comparison of the pH on admission with the pH after 1st hour of NIV, the latter showed statistically significant improvement. Drop in PaCo2 and rise in PaO2 on ABG from admission and after stopping NIV was statistically significant. Patients with lower MMRC grade and severe cough showed significant improvement in pH, however patient with higher emergency visits and past hospitalisation showed less improvement in pH, after 1 hour of NIV therapy. A total 4 patients were intubated, with mean pH of 7.22, 3 out of them had higher emergency visits, 2 out of them had ICU admission.Conclusions: NIV treatment for COPD with type II respiratory failure avoids intubation, reduces complications and should be considered as first line therapy instead of ET intubation. Lower mMRC grade, lesser hospitalizations, lesser emergency visits, higher BMI, symptoms like cough, can have a positive predictive value for the outcome of NIV.

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