Factors Associated with the Peak Flow Variation Generated during Forced Manual Hyperinflation Technique
Luan Rodrigues da Silva, Ana Paula Felix Arantes, Fernando Guimarães Cruvinel and Renato Canevari Dutra da Silva
Article Type: Research Article | First Published: March 31, 2023
Manual hyperinflation is one of the most used respiratory physiotherapy techniques in critically ill patients and consists of administering a higher volume of gaseous fluid than the patient performed using a self-inflating balloon (AMBU). This technique was developed with the objective of removing bronchial secretion and re-expansion of atelectasis lung areas, thus improving pulmonary compliance and oxygenation in mechanically ventilated patients....
Effectiveness of Extracorporeal Membrane Oxygenation in Adults
James A Wright
Article Type: Research Article | First Published: February 13, 2023
With patients for whom it is difficult or near impossible to maintain adequate oxygenation by conventional means, it may become necessary to oxygenate the blood outside the body. One method used with moderate success is the procedure of extracorporeal membrane oxygenation (ECMO). The purpose of this study was to determine the effectiveness of ECMO in adult patients suffering from conditions associated with respiratory failure that is refractory to conventional means of treatment....
Methylene Blue Instillation for the Evaluation of Bronchopleural Fistula
Lorijn Verbrugghe, MD and Peter Driesen, MD
Article Type: Case Report | First Published: January 21, 2023
A bronchopleural fistula (BPF) is a pathologic communication between a bronchus and the pleural space. BPF has a high morbidity and mortality, therefore a timely diagnosis is of great importance. Methylene Blue has been used for the localization of BPF for decades and although other diagnostic tools are available, it remains favorable because it is widely available, safe and easy to perform. In this case report we would like to stress the ongoing relevance of this diagnostic method by presenting...