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Active Cycle Of Breathing
Airway clearance therapy is treatment that uses a number of airway clearance techniques to clear the respiratory airways of mucus and other secretions. Several respiratory diseases cause the normal mucociliary clearance mechanism to become impaired resulting in a build-up of mucus which obstructs breathing, and also affects the cough reflex. Mucus build-up can also cause infection, and inflammation, and repeated infections can result in damage to the airways, and the lung tissue. All airway clearance therapy involves the techniques of coughing, or huffing that need to be used in conjunction with another airway clearance technique. Respiratory therapists make recommendations and give guidance for appropriate airway clearance therapies. They also give instruction in the use of various airway clearance techniques. Clearance techniques Airway clearance therapy uses different airway clearance techniques (ACTs) in a number of respiratory disorders including, cystic fibrosis, bronchit ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Respiratory Tract
The respiratory tract is the subdivision of the respiratory system involved with the process of conducting air to the alveoli for the purposes of gas exchange in mammals. The respiratory tract is lined with respiratory epithelium as respiratory mucosa. Air is breathed in through the nose to the nasal cavity, where a layer of nasal mucosa acts as a filter and traps pollutants and other harmful substances found in the air. Next, air moves into the pharynx, a passage that contains the intersection between the oesophagus and the larynx. The opening of the larynx has a special flap of cartilage, the epiglottis, that opens to allow air to pass through but closes to prevent food from moving into the airway. From the larynx, air moves into the trachea and down to the intersection known as the carina that branches to form the right and left primary (main) bronchi. Each of these bronchi branches into a secondary (lobar) bronchus that branches into tertiary (segmental) bronchi, t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Percussion (medicine)
Percussion is a technique of clinical examination. Overview Percussion is a method of tapping on a surface to determine the underlying structures, and is used in clinical examinations to assess the condition of the thorax or abdomen. It is one of the four methods of clinical examination, together with inspection, palpation, auscultation, and inquiry. It is done with the middle finger of one hand tapping on the middle finger of the other hand using a wrist action. The nonstriking finger (known as the pleximeter) is placed firmly on the body over tissue. When percussing boney areas such as the clavicle, the pleximeter can be omitted and the bone is tapped directly such as when percussing an apical cavitary lung lesion typical of tuberculosis. There are two types of percussion: direct, which uses only one or two fingers; and indirect, which uses only the middle/flexor finger. Broadly classifying, there are four types of percussion sounds: resonant, hyper-resonant, stony dull ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Airway Management
Airway management includes a set of maneuvers and medical procedures performed to prevent and relieve an airway obstruction. This ensures an open pathway for gas exchange between a patient's lungs and the atmosphere. This is accomplished by either clearing a previously obstructed airway; or by preventing airway obstruction in cases such as anaphylaxis, the Obtundation, obtunded patient, or medical sedation. Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents (Pulmonary aspiration, aspiration). Airway management is commonly divided into two categories: Basic airway management, basic and Advanced airway management, advanced. Basic techniques are generally non-invasive and do not require specialized medical equipment or advanced training. Techniques might include head and neck maneuvers to optimize ventilation, abdominal thrusts, and back blows. Advanced techniques require specialized ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Functional Residual Capacity
Functional residual capacity (FRC) is the lung volume, volume of air present in the lungs at the end of passive Exhalation, expiration.Hopkins E, Sharma S. Physiology, Functional Residual Capacity. [Updated 2022 Jan 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500007/ At FRC, the opposing elastic recoil forces of the lungs and chest wall are in equilibrium and there is no exertion by the thoracic diaphragm, diaphragm or other respiratory muscles. Measurement FRC is the sum of expiratory reserve volume (ERV) and residual volume (RV)Levitzky M.G. (2021). Alveolar ventilation. Levitzky M, & McDonough K, & Kaye A, & Hall S(Eds.), Clinical Physiology in Anesthetic Practice. McGraw Hill. https://accessanesthesiology.mhmedical.com/content.aspx?bookid=2979§ionid=249590087 and measures approximately 3000 mL in a 70 kg, average-sized male. It cannot be estimated through spirometry, sinc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Collateral Ventilation
Collateral ventilation is a back-up system of alveolar ventilation that can bypass the normal route of airflow when airways are restricted or obstructed. The pathways involved include those between adjacent alveoli (pores of Kohn), between bronchioles and alveoli (canals of Lambert), and those between bronchioles (channels of Martin). Collateral ventilation also serves to modulate imbalances in ventilation and perfusion a feature of many diseases. The pathways are altered in lung diseases particularly asthma, and emphysema. A similar functional pattern of collateralisation is seen in the circulatory system of the heart. Interlobar collateral ventilation has also been noted and is a major unwanted factor in the consideration of lung volume reduction surgery and some lung volume reduction procedures. Pathways In normal respiratory conditions, airflow is through the pathway of least resistance offered by the bronchial tree, to the alveoli and back to the bronchi and trachea. In t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Biphasic Cuirass Ventilation
Mechanical ventilation or assisted ventilation is the medical term for using a ventilator machine to fully or partially provide artificial ventilation. Mechanical ventilation helps move air into and out of the lungs, with the main goal of helping the delivery of oxygen and removal of carbon dioxide. Mechanical ventilation is used for many reasons, including to protect the airway due to mechanical or neurologic cause, to ensure adequate oxygenation, or to remove excess carbon dioxide from the lungs. Various healthcare providers are involved with the use of mechanical ventilation and people who require ventilators are typically monitored in an intensive care unit. Mechanical ventilation is termed invasive if it involves an instrument to create an airway that is placed inside the trachea. This is done through an endotracheal tube or nasotracheal tube. For non-invasive ventilation in people who are conscious, face or nasal masks are used. The two main types of mechanical ventila ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medication
Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to medical diagnosis, diagnose, cure, treat, or preventive medicine, prevent disease. Drug therapy (pharmacotherapy) is an important part of the medicine, medical field and relies on the science of pharmacology for continual advancement and on pharmacy for appropriate management. Drugs are Drug class, classified in many ways. One of the key divisions is by level of controlled substance, control, which distinguishes prescription drugs (those that a pharmacist dispenses only on the medical prescription) from over-the-counter drugs (those that consumers can order for themselves). Medicines may be classified by mode of action, route of administration, biological system affected, or therapeutic effects. The World Health Organization keeps a list of essential medicines. Drug discovery and drug development are complex and expensive endeavors undertake ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nebulizer
In medicine, a nebulizer (American English) or nebuliser (English language, English) is a drug delivery device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for the treatment of asthma, cystic fibrosis, COPD and other respiratory diseases or disorders. They use oxygen, compressed air or ultrasonics, ultrasonic power to break up solutions and suspensions into small aerosol droplets that are inhaled from the mouthpiece of the device. An aerosol is a mixture of gas and solid or liquid particles. Medical uses Guidelines Various asthma guidelines, such as the Global Initiative for Asthma Guidelines [GINA], the British Guidelines on the management of Asthma, The Canadian Pediatric Asthma Consensus Guidelines, and United States Guidelines for Diagnosis and Treatment of Asthma each recommend metered dose inhalers in place of nebulizer-delivered therapies. The European Respiratory Society acknowledge that although nebulizers are ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Chest Wall Oscillation
Chest wall oscillation is when devices are used in airway clearance therapy to clear excess mucus from lung airways (bronchi and bronchioles). It is principally used in the treatment of cystic fibrosis, but is gaining use in the treatment of other diseases, such as bronchiectasis, COPD, cerebral palsy and muscular dystrophy, in which excessive mucus can block airways due to excessive production or impaired clearance. This "passive system" is not dependent on the effort of the patient. It uses a compressor to inflate and deflate the vest rhythmically at timed intervals and thus imposes high frequency chest wall oscillations (HFCWO) that are transferred to the lungs. These oscillations thin thixotropic airway mucus, facilitating its removal by coughing. Delivery of air to the vest can be controlled manually. History The Vest system was developed by Warren Warwick, a pediatrician and cystic fibrosis expert, and Leland Hansen MPH, a senior scientist at the University of Minnesota, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Insufflation (medicine)
Insufflation () is the act of blowing something (such as a gas, powder, or vapor) into a body cavity. Insufflation has many medical uses, most notably as a route of administration for various drugs. Medical uses Surgery Gases are often insufflated into a body cavity to inflate the cavity for more workroom, e.g. during laparoscopic surgery. The most common gas used in this manner is carbon dioxide, because it is non-flammable, colorless, and dissolves readily in blood. Diagnostics Gases can be insufflated into parts of the body to enhance radiological imaging or to gain access to areas for visual inspection (e.g. during colonoscopy). Respiratory assistance Oxygen can be insufflated into the nose by nasal cannulae to assist in respiration. Airway clearance technique, Mechanical insufflation-exsufflation simulates a cough and assists Mucociliary clearance, airway mucus clearance. It is used with patients with neuromuscular disease and muscle weakness due to central nervous ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Postural Drainage
Postural drainage (PD) is the drainage of lung secretions using gravity. It is used to treat a variety of conditions that cause the build-up of secretions in the lungs. Uses Postural drainage is used to treat any condition that causes the build-up of secretions in bronchopulmonary segments. These include: * bronchiectasis * lung abscesses * cystic fibrosis * atelectasis * chronic obstructive pulmonary disease (COPD) * pneumonia * postoperative lung damage (after some thoracic surgery) * COVID-19 Patients must receive physiotherapy to learn to tip themselves into a position in which the lobe can be drained. Contraindications Postural drainage is often not suitable for infants in the neonatal intensive care unit, who may have lots of equipment attached to them. Postural drainage is more difficult if patients experience poor mobility, poor posture, pain, anxiety, and skin damage, usually requiring adaptations to the technique. Trendelenburg position which is head down p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
