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The unique contribution of manual chest compression-vibrations to airflow during physiotherapy in sedated, fully ventilated children.

Authors
  • 1
  • 1 Portex Anaesthesia, Intensive Therapy & Respiratory Medicine Unit, UCL Institute of Child Health and Physiotherapy Department, Great Ormond Street Hospital for Children NHS Trust, London, UK. [email protected]
Type
Published Article
Journal
Pediatric Critical Care Medicine
1529-7535
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Volume
13
Issue
2
Identifiers
DOI: 10.1097/PCC.0b013e3182230f5a
PMID: 21666530
Source
Medline
License
Unknown

Abstract

These results provide evidence of the unique contribution of compression forces in increasing peak expiratory flow and peak expiratory to inspiratory flow ratio bias over and above that related to accompanying changes from manual hyperinflations. Force generated during compression-vibrations was the single significant factor in multivariable analysis to explain the increases in expiratory flow bias. Such increases in the expiratory bias provide theoretically optimal physiological conditions for cephalad mucus movement in fully ventilated children.

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