Manual hyperinflation ppt

Home Explore Login Signup. Successfully reported this slideshow. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime. Next SlideShares. You are reading a preview. Create your free account to continue reading. Sign Up. Upcoming SlideShare. Hyperinflation power point. Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Share Email.

Top clipped slide. Download Now Download Download to read offline. Hyperinflation Download Now Download Download to read offline. Tulsi Jain Follow. Hyperinflation Special Report Business and Inflation. Comparison between Hyperinflation in Germany and Zimbabwe. Only the minimum number of required staff should be present and they must all wear PPE, as described.

Entry and exit from the room should be minimised during the procedure. However, if clinically indicated and alternative options have been ineffective, consult with both senior medical staff and infection prevention and monitoring services within local facilities prior to use. Re-usable respiratory equipment should be avoided where possible. Sputum inductions 3. Requests for sputum samples 3. If so, physiotherapy is not required for a sputum sample. If physiotherapy interventions are required to facilitate a sputum sample, full airborne PPE should be worn.

The handling of sputum samples should adhere to local policies. The specimen should be placed in the first bag in the isolation room by a staff member wearing recommended PPE. Pneumatic tube systems must not be used to transport specimens. Saline nebulisation 3. It should be noted that some UK guidelines allow use of nebulisers, but this is currently not recommended in Australia.

Manual hyperinflation 3. Positioning, including gravity-assisted drainage 3. Prone positioning 3. Tracheostomy management 3.

Physiotherapy management principles — mobilisation, exercise and rehabilitation interventions Physiotherapists are responsible for providing musculoskeletal, neurological and cardiopulmonary rehabilitation tasks, as outlined below.

Range of motion exercises Passive, active-assisted, active or resisted joint range of motion exercises may be performed to maintain or improve joint integrity, range of motion and muscle strength. Box 4 Recommendations for physiotherapy mobilisation, exercise and rehabilitation interventions. Personal protective equipment 4. However, physiotherapists are likely to be in close contact with the patient eg, for mobilisation, exercise or rehabilitation interventions that require assistance.

Mobilisation and exercise may also result in the patient coughing or expectorating mucus, and there may be circuit disconnections with ventilated patients. Refer to local guidelines regarding ability to mobilise patients outside of their isolation room. If mobilising outside of the isolation room, ensure that the patient is wearing a surgical mask.

Screening 4. For example, to try to minimise staff who come in to contact with patients with COVID, physiotherapists may screen to determine an appropriate aid to trial. A trial of the aid may then be performed by the nursing staff already in an isolation room, with guidance provided, if needed, by the physiotherapist who is outside the room. Early mobilisation 4. Actively mobilise the patient early in the course of illness when safe to do so.

Mobilisation and exercise prescription 4. For example, use elastic resistance bands rather than distributing hand weights. Avoid use of specialised equipment, unless necessary, for basic functional tasks.

Personal protective equipment considerations It is imperative that physiotherapists understand the measures in place to prevent transmission of COVID Box 5 Recommendations regarding personal protective equipment for physiotherapists. A registry of staff who have completed PPE education and fit checking should be maintained. PPE particularly masks should not be adjusted during patient care.

All personal items should be removed before entering clinical areas and donning PPE. This includes earrings, watches, lanyards, mobile phones, pagers, pens, etc. Stethoscope use should be minimised. The same applies once infectious patients are nursed on an open ward. Staff then use plastic aprons, a change of gloves and hand hygiene when moving between patients in open areas.

Preferably only use single-use equipment. Provenance: Invited. Peer reviewed. Footnotes Footnotes: a An international team of expert researchers and clinicians within the intensive care and acute cardiorespiratory fields have developed these recommendations.

Appendix Appendix 1: Click here to view. Appendix 2: Click here to view. References 1. World Health Organization. Sohrabi C. Guan W. Clinical Characteristics of Coronavirus Disease in China. N Engl J Med. Yoon S. Korean J Radiol. Zhao D. Clin Infect Dis. Peng Q. Findings of lung ultrasonography of novel corona virus pneumonia during the epidemic.

Intensive Care Med. Chen N. Epidemiological and clinical characteristics of 99 cases of novel coronavirus pneumonia in Wuhan, China: a descriptive study.

Zhou F. Xie J. Kress J. ICU-acquired weakness and recovery from critical illness. Herridge M. Functional disability 5 years after acute respiratory distress syndrome. Brouwers M. J Clin Epidemiol. Views Total views. Actions Shares. No notes for slide. Advanced airway clearance 1. It reduces transmission of microorganisms. Squeeze- 1,2 Release- 1 times Can be combined with vibrations Dr. Total views 12, On Slideshare 0. From embeds 0. Number of embeds Downloads Shares 0.

Comments 0. Likes You just clipped your first slide! Clipping is a handy way to collect important slides you want to go back to later.

Now customize the name of a clipboard to store your clips. Visibility Others can see my Clipboard. Disconnect patient from the ventilator, attach the bagging circuit to the catheter mount, attach the reservoir bag to the ventilator tubing and mute the alarm or switch the ventilator to standby as per local policy in the Unit.

Co-ordinate the delivery of the breaths with any respiratory efforts of the patient. Allow the patient to acclimatise by using small TVs initially. Minimise movement of the endotracheal or tracheostomy tube during MHI. Perform slow deep inspiration aiming to achieve a peak inspiratory pressure of 40 cmH2O.

Hold the breath for 3s at the end of inspiration followed by rapid release of the bag. If the patient remains stable, use MHI breaths and suction when indicated. Repeat the cycle of MHI. Reconnect the patient to the ventilator if the ventilator has been turned off ensure it has been switched on. Document that the patient is reconnected to the ventilator as above and handover has been given to nursing staff The sidelying position should be continued so long as it is comfortable for the patient and convenient for the nursing procedures.

Paediatric MHI use ml bag Turn the O2 flow rate to 4 6 liters Bag squeeze using fingers rather than whole hand interspersing one hyperinflation with 3 or 4 tidal breaths Pressure not more than 10 cm of H2O above the peak airway pressure for term babies and 5cm for preterm babies. Perceived benefits Removal of secretions Re-inflation of atelectasis Improved oxygenation Stimulation of a cough reflex Improved lung volumes Improved lung compliance Prevent nosocomial pneumonia.

Hazards Reduced blood pressure Reduced saturation Increased intracranial pressure Reduced respiratory drive. Rebreathing systems Allow the to-and-fro movement of inspiratory and expiratory gases within the breathing system.

Carbon dioxide elimination is achieved by the flushing action of fresh gas introduced into this breathing system. References 1. Denehy L. The use of manual hyperinflation in airway clearance.

Eur Respir J. Northern health and social care trust. Manual hyperinflation of adult patients in critical care. Apr Ehrenwerth J, Eisenkraft J. Anaesthesia Equipment: Principles and applications. Wards Anaesthetic Equipment. Anaesthesia equipment manual. Understanding anaesthesia equipment. Philadelphia: Lippincott Williams and Wilkins; Open navigation menu. Close suggestions Search Search.