Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines.
Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines.
1st January 2006
American College of Chest Physicians - Medical Specialty Society
Summary,
DISEASE/CONDITION(S)
Impaired airway clearance, including disorders that are associated with:
Management
Treatment
CLINICAL SPECIALTY
Family Practice
Internal Medicine
Pediatrics
Pulmonary Medicine
INTENDED USERS
Physicians
GUIDELINE OBJECTIVE(S)
To review evidence on a variety of interventions used to enhance airway clearance and to make recommendations with the goal of improving lung mechanics and gas exchange, and preventing atelectasis and infection
TARGET POPULATION
Patients with impaired airway clearance
INTERVENTIONS AND PRACTICES CONSIDERED
Treatment/Management
Chest physiotherapy
Manually assisted cough (Note: not recommended in persons with airflow obstruction disorders)
Huffing
Autogenic drainage
Expiratory muscle training
Positive expiratory pressure
Devices designed to oscillate gas in the airway, either directly or by compressing the chest wall
Mechanical cough assist devices
MAJOR OUTCOMES CONSIDERED
Sputum characteristics (volume, weight, and viscosity) and clearance
Forced expiratory volume in one second (FEV1)
Coughing efficiency
Incidence of respiratory complications
American College of Chest Physicians - Medical Specialty Society
Summary,
DISEASE/CONDITION(S)Impaired airway clearance, including disorders that are associated with:
- Abnormal cough mechanics
- Altered mucus rheology
- Altered mucociliary clearance
- Structural defects
Management
Treatment
CLINICAL SPECIALTY
Family Practice
Internal Medicine
Pediatrics
Pulmonary Medicine
INTENDED USERS
Physicians
GUIDELINE OBJECTIVE(S)
To review evidence on a variety of interventions used to enhance airway clearance and to make recommendations with the goal of improving lung mechanics and gas exchange, and preventing atelectasis and infection
TARGET POPULATION
Patients with impaired airway clearance
INTERVENTIONS AND PRACTICES CONSIDERED
Treatment/Management
Chest physiotherapy
Manually assisted cough (Note: not recommended in persons with airflow obstruction disorders)
Huffing
Autogenic drainage
Expiratory muscle training
Positive expiratory pressure
Devices designed to oscillate gas in the airway, either directly or by compressing the chest wall
Mechanical cough assist devices
MAJOR OUTCOMES CONSIDERED
Sputum characteristics (volume, weight, and viscosity) and clearance
Forced expiratory volume in one second (FEV1)
Coughing efficiency
Incidence of respiratory complications
