Intrapulmonary percussive ventilation as an airway clearance technique in subjects with chronic obstructive airway diseases

Reychler, Gregory (Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, Brussels, Belgium ; Service de Pneumologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium) ; Debier, Emilie (Service de Pneumologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium) ; Contal, Olivier (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Audag, Nicolas (Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL & Dermatologie, Université Catholique de Louvain, Brussels, Belgium ; Département de Pédiatrie, Cliniques Universitaires Saint-Luc, Brussels, Belgium)

BACKGROUND: Airway clearance techniques are regularly proposed as a part of the treatment in chronic obstructive airway diseases. Intrapulmonary percussive ventilation (IPV) is used as an airway clearance technique in patients affected by excessive lung secretions. The aim of this systematic review is to summarize the physiological and clinical effects related to the use of IPV as an airway clearance technique in chronic obstructive airway diseases. METHODS: This systematic review followed the PRISMA guidelines. Randomized, controlled, comparative, and cohort studies investigating IPV as an airway clearance technique were identified and reviewed from 3 databases. Two reviewers independently assessed study quality and reviewed the selected studies. RESULTS: 278 subjects from 12 studies were included in the final analysis, with 3 diseases studied. Only one of the included studies had a sample size > 50 subjects. The main findings showed that IPV improves gas exchange during exacerbation and could reduce the hospital length of stay for patients with COPD. In subjects with cystic fibrosis, neither lung function nor other parameters were improved. CONCLUSIONS: The systematic use of IPV as an airway clearance technique in chronic obstructive airway diseases is not supported by sufficiently strong evidence to recommend routine use in this patient population.


Mots-clés:
Type d'article:
scientifique
Faculté:
Santé
Ecole:
HESAV
Institut:
Unité de recherche en santé, HESAV
Classification:
Santé
Date:
2018-05
Pagination:
12 p.
Veröffentlicht in:
Respiratory care
Numérotation (vol. no.):
2018, vol. 63, no. 5, pp. 620-631
DOI:
ISSN:
0020-1324
Le document apparaît dans:

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