Abstract

  Physiotherapy remains an important tool in the treatment of cronic obstructive pulmonary disease (COPD) and especially when this disease presents exacerbations that lead to hospitalize our patients. In this article we will analyze how the physiotherapist can help these patients through respiratory therapy using, non-invasive ventilation (NIV), positioning, aerosol therapy, humidification and assistance in fibroboncoscopy.

Keywords: Physiotherapy; COPD; COPD Exacerbations; NIV

References

1. Global Initiative for Chronic Obstructive Lung Disease (2016).
2. Global Initiative for Chronic Obstructive Lung Disease (2017).
3. Casanova C., et al. “Prevalence of persistent blood eosinophilia: relation to outcomes in patients with COPD”. European Respiratory Journal 50.5 (2017).
4. Aaron SD., et al. “Granulocyte inflammatory markers and airway infection during acute exacerbation of chronic obstructive pulmonary disease”. American Journal of Respiratory and Critical Care Medicine 163 (2001): 349-355.
5. Gheber L and Priel Z. “Extraction of cilium beat parameters by the combined application of photoelectric measurements and computer simulation”. Biophysical Journal 72 (1997): 449-462.
6. Debray MP., et al. “Early computed tomography modifications following bronchial thermoplasty in patients with severe asthma”. European Respiratory Journal 49.3 (2017). 
7. Cruz E. “COPD Exacerbations: Definition and Prognostic Signification”. Revista Chilena de Enfermedades Respiratorias 20.2 (2004): 76-79.
8. Murphy TF and Sethi S. “Bacterial infection in chronic obstructive pulmonary disease”. The American Review of Respiratory Disease 146 (1992): 1067-1083.
9. Mikelsons C and Wedzicha W. “Pulmonary rehabilitation and the COPD exacerbation”. Seminars in Respiratory and Critical Care Medicine 30.6 (2009): 649-655.
10. Muscedere J., et al. “The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis”. Intensive Care Medicine 43.8 (2017): 1105-1122. 
11. Hill NS., et al. “Noninvasive ventilation in acute respiratory failure”. Critical Care Medicine 35.10 (2007): 2402-2407.
12. Antonelli M., et al. “Predictors of failure of noninvasive positive pressure ventilation in patients with acute hypoxemic respiratory failure: a multi-center study”. Intensive Care Medicine 27.11 (2001):1718-1728. 
13. Hidalgo V., et al. “Noninvasive Mechanical Ventilation in Acute Respiratory Failure Patients: A Respiratory Therapist Perspective”. The Open Respiratory Medicine Journal (2015): 120-126.
14. Giugliano-Jaramillo C., et al. “Clinical and Breathing Behavior in Subjects Undergoing Bronchoscopy Supported with Noninvasive Mechanical Ventilation”. Journal of Respiratory Medicine 2 (2018): 1.
15. Ambrosino N and Xie L. “The Use of Non-invasive Ventilation during Exercise Training in COPD Patients”. Chronic Obstructive Pulmonary Disease COPD 14.4 (2017): 396-400.
16. Hidalgo V., et al. “Evaluación de la ventilación mecánica no invasiva en paciente con insuficiencia respiratoria aguda”. Revista Chilena de Medicina Intensiva25.1 (2010): 15-22.
17. Cerpa F., et al. “Humidification on Ventilated Patients: Heated Humidifications or Heat and Moisture Exchangers?” The Open Respiratory Medicine Journal 9 (2015): 104-111. 
18. Dhand R. “Aerosol therapy in patients receiving noninvasive positive pressure ventilation”. Journal of Aerosol Medicine and Pulmonary Drug Delivery 25.2 (2012): 63-79.
19. Keymer J., et al. “Inhalation Theraphy in Mechanical Ventilation”. Mechanical Ventilation inthe ICU (2018).

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Citation

Citation: Keymer J., et al. “Physiotherapy Management of Copd Exacerbations" Acta Scientific Medical Sciences 4.3 (2020): 43-48.

Copyright

Copyright: © 2020 Keymer J., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.