Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation
Common complications in PMV include changes in the airway clearance mechanism, pulmonary function, and respiratory muscle strength, as well as chest radiological changes such as atelectasis. Lung expansion therapy which includes IPPB and PEEP prevents and treats pulmonary atelectasis and improves lu...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2016/5624315 |
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| author | Yen-Huey Chen Ming-Chu Yeh Han-Chung Hu Chung-Shu Lee Li-Fu Li Ning-Hung Chen Chung-Chi Huang Kuo-Chin Kao |
| author_facet | Yen-Huey Chen Ming-Chu Yeh Han-Chung Hu Chung-Shu Lee Li-Fu Li Ning-Hung Chen Chung-Chi Huang Kuo-Chin Kao |
| author_sort | Yen-Huey Chen |
| collection | DOAJ |
| description | Common complications in PMV include changes in the airway clearance mechanism, pulmonary function, and respiratory muscle strength, as well as chest radiological changes such as atelectasis. Lung expansion therapy which includes IPPB and PEEP prevents and treats pulmonary atelectasis and improves lung compliance. Our study presented that patients with PMV have improvements in lung volume and oxygenation after receiving IPPB therapy. The combination of IPPB and PEEP therapy also results in increase in respiratory muscle strength. The application of IPPB facilitates the homogeneous gas distribution in the lung and results in recruitment of collapsed alveoli. PEEP therapy may reduce risk of respiratory muscle fatigue by preventing premature airway collapse during expiration. The physiologic effects of IPPB and PEEP may result in enhancement of pulmonary function and thus increase the possibility of successful weaning from mechanical ventilator during weaning process. For patients with PMV who were under the risk of atelectasis, the application of IPPB may be considered as a supplement therapy for the enhancement of weaning outcome during their stay in the hospital. |
| format | Article |
| id | doaj-art-6717a3a6e4294d9a9e2dbbc136715f3e |
| institution | OA Journals |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-6717a3a6e4294d9a9e2dbbc136715f3e2025-08-20T02:23:43ZengWileyCanadian Respiratory Journal1198-22411916-72452016-01-01201610.1155/2016/56243155624315Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical VentilationYen-Huey Chen0Ming-Chu Yeh1Han-Chung Hu2Chung-Shu Lee3Li-Fu Li4Ning-Hung Chen5Chung-Chi Huang6Kuo-Chin Kao7Department of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Respiratory Therapy, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Shing Street, Guishan District, Taoyuan City 33305, TaiwanDepartment of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Shing Street, Guishan District, Taoyuan City 33305, TaiwanDepartment of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanDepartment of Respiratory Care, Chang Gung University College of Medicine, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, TaiwanCommon complications in PMV include changes in the airway clearance mechanism, pulmonary function, and respiratory muscle strength, as well as chest radiological changes such as atelectasis. Lung expansion therapy which includes IPPB and PEEP prevents and treats pulmonary atelectasis and improves lung compliance. Our study presented that patients with PMV have improvements in lung volume and oxygenation after receiving IPPB therapy. The combination of IPPB and PEEP therapy also results in increase in respiratory muscle strength. The application of IPPB facilitates the homogeneous gas distribution in the lung and results in recruitment of collapsed alveoli. PEEP therapy may reduce risk of respiratory muscle fatigue by preventing premature airway collapse during expiration. The physiologic effects of IPPB and PEEP may result in enhancement of pulmonary function and thus increase the possibility of successful weaning from mechanical ventilator during weaning process. For patients with PMV who were under the risk of atelectasis, the application of IPPB may be considered as a supplement therapy for the enhancement of weaning outcome during their stay in the hospital.http://dx.doi.org/10.1155/2016/5624315 |
| spellingShingle | Yen-Huey Chen Ming-Chu Yeh Han-Chung Hu Chung-Shu Lee Li-Fu Li Ning-Hung Chen Chung-Chi Huang Kuo-Chin Kao Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation Canadian Respiratory Journal |
| title | Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation |
| title_full | Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation |
| title_fullStr | Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation |
| title_full_unstemmed | Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation |
| title_short | Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation |
| title_sort | effects of lung expansion therapy on lung function in patients with prolonged mechanical ventilation |
| url | http://dx.doi.org/10.1155/2016/5624315 |
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