Literature DB >> 6614645

Enhanced tracheal mucus clearance with high frequency chest wall compression.

M King, D M Phillips, D Gross, V Vartian, H K Chang, A Zidulka.   

Abstract

The clearance of mucus in the trachea during high frequency chest wall compression (HFCWC) was studied in nine anesthetized dogs. High frequency chest wall compression was applied by oscillating the pressure in a thoracic cuff such that it produced oscillatory tidal volumes of 25 to 100 cc at frequencies of 3 to 17 Hz. The tracheal mucus clearance rate (TMCR) was determined by direct observation of the rate of displacement of a charcoal particle spot by means of a fiberoptic bronchoscope. Baseline TMCR during spontaneous breathing averaged 8.2 +/- 5.6 mm/min in the 9 dogs. The TMCR during 2 min of HFCWC was increased at 5, 8, 11, 13, 15, and 17 Hz but not at 3 Hz. The enhancement of clearance was most pronounced in the range of 11 to 15 Hz, reaching a peak value of 340% of control at 13 Hz. These studies suggest that HFCWC might be of considerable potential benefit as a mode of chest physiotherapy.

Entities:  

Mesh:

Year:  1983        PMID: 6614645     DOI: 10.1164/arrd.1983.128.3.511

Source DB:  PubMed          Journal:  Am Rev Respir Dis        ISSN: 0003-0805


  18 in total

Review 1.  The role of chest physiotherapy in mucus hypersecretion.

Authors:  D Pavia
Journal:  Lung       Date:  1990       Impact factor: 2.584

2.  The unacceptable face of tipping.

Authors:  M Woodhead; A Tattersfield
Journal:  Br Med J (Clin Res Ed)       Date:  1987-04-11

3.  Investigation of the frequency and force of chest vibration performed by physiotherapists.

Authors:  S K Li; Y R Silva
Journal:  Physiother Can       Date:  2008-11-12       Impact factor: 1.037

4.  External high-frequency ventilation in patients with respiratory failure (external ventilation)

Authors:  L Gaitini; S Vaida; S Krimerman; A Werczberger; J Smorgik; M Naum; M Somri
Journal:  Intensive Care Med       Date:  1995-02       Impact factor: 17.440

5.  Effects of short term high frequency negative pressure ventilation on gas exchange using the Hayek oscillator in normal subjects.

Authors:  F M Hardinge; R J Davies; J R Stradling
Journal:  Thorax       Date:  1995-01       Impact factor: 9.139

6.  Maximum expiratory airflow during chest physiotherapy on ventilated patients before and after the application of an abdominal binder.

Authors:  D MacLean; G Drummond; C Macpherson; G McLaren; R Prescott
Journal:  Intensive Care Med       Date:  1989       Impact factor: 17.440

Review 7.  Role of mechanical stress in regulating airway surface hydration and mucus clearance rates.

Authors:  Brian Button; Richard C Boucher
Journal:  Respir Physiol Neurobiol       Date:  2008-06-08       Impact factor: 1.931

8.  Increase in mucociliary clearance in normal man induced by oral high frequency oscillation.

Authors:  R J George; M A Johnson; D Pavia; J E Agnew; S W Clarke; D M Geddes
Journal:  Thorax       Date:  1985-06       Impact factor: 9.139

9.  Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis.

Authors:  Leyla P Osman; Michael Roughton; Margaret E Hodson; Jennifer A Pryor
Journal:  Thorax       Date:  2009-08-23       Impact factor: 9.139

10.  Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patients.

Authors:  Casandra A Anderson; Cassandra A Palmer; Arthur L Ney; Brian Becker; Robert R Quickel; Steven D Schaffel
Journal:  J Trauma Manag Outcomes       Date:  2008-10-06
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