· RESULTS: Both manual hyperinflation and ventilator hyperinflation significantly decreased inspiratory flow by approximately 16 L/min (P manual hyperinflation . pulmonary hyperinflation.3 When the procedure is repeated on a regular basis, airway patency may be maintained and lung atelectasis prevented and reversed.(,5,6,9,10) Incentive spirometry should be contrasted with expiratory maneuvers (such as the use of blow. Manual Hyperinflation = slow, deep breaths at greater than TV used to increase lung volume. A therapeutic manoeuvre often accompanied with other treatment techniques (positioning, manual techniques) e.g. to reverse lobar atelectasis. Indications - Acute lobar atelectasis (ALA) - To mobilise secretions.
Patients receiving invasive mechanical ventilation who are unable to breathe spontaneously or produce an effective cough may retain pulmonary secretions leading to bronchial obstruction and atelectasis with the attendant adverse effects. 1,2 To enhance airway clearance, a maneuver known as manual hyperinflation, which involves lung ventilation with a manual resuscitator, was first described more than 50 years ago. 3 By simulating a normal cough, this maneuver is intended to mobilize. Manual lung hyperinflation (MHI) can enhance secretion clearance, improve total lung/thorax compliance and assistin the resolution of acute atelectasis. To enhance secretion clearance in the intuba. Manual lung hyperinflation (MHI) can enhance secretion clearance, improve total lung/thorax compliance and assistin the resolution of acute atelectasis. To enhance secretion clearance in the intubated patient, the evidence highlights the need to maximize expiratory flow. Chronic pulmonary diseases such as chronic obstructive pulmonary disease(COPD) have often been cited as potential precautions and/or contra-indications to the use of manual lung hyperinflation (MHI).
Guidelines for Manual Hyperinflation for Adult Patients not without risk so the following indications and contraindications for use should be followed. Indications[edit | edit source] · Clearance of retained secretions and mucus plugging · Recruitment of areas of atelectasis or collapse · To improve ventilation/. Traditionally, hyperinflation has been delivered to mechanically ventilated patients by disconnecting them from the ventilator and connecting them to a manual.
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