References for techniques

Question 1

ACBT reference

Answer 1

Abdelhaim et al 2016
- study which “compared active cycles of breathing with postural drainage versus chest physiotherapy”

Question 2

ACBT 3 indications with reference

Answer 2

1- bronchiectasis (perm. dilation of airways, poor mucus clearance)
2- low SP02
3- residual secretions
(Abdelhaim et al 2016)

Question 3

ACBT 4 contra indications with ref (diff)

Answer 3

(Phillips et al 2023)
- dementia
- pneumothorax (within last 6m)
- lung transplant
- lung abscess

Question 4

Incentive spirometer- main reference

Answer 4

Franklin and Anjum, 2023
- training journal on how to use

Question 4

Incentive spirometer- 4 indications with reference

Answer 4

1. post op stays for more than 1 day
2. extended bed rest
3. Spinal cord injury Pts (often have muscle dysfunction)
4. Cerebral Palsy children
5. COPD

(Franklin and Anjum, 2023)

Question 5

Incentive Spirometer 4 contra indications w/reference

Answer 5

“no absolute contraindications…the following conditions are considered a need for caution”
1. respiratory tract infection
2. pneumothorax
3. vomiting/nausea (get drug prescription)
4. dementia

(Franklin et Anjum 2023)

Question 6

Suction machine- ref, indi and contra

Answer 6

(Sinha et al, 2023)
+ when Pt cannot cough

• “No absolute”
• with things like bradycardia or hypoxia, take extra precautions like using a smaller catheter, extra gel or holding head

Question 7

BIRD/ IPPB machine- ref, 2 intra, 2 contra

Answer 7

Kao et al, 2016
+ low tidal volume
+ copious secretions

• already has an increased pressure in lungs
• panic disorders (?)