Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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Obliterative bronchitis and bronchiolitis with bronchiectasis.

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After establishing the existence of the disease and discarding the hypothesis of surgery, conservative treatment is initiated [4] which includes bronchodilator drugs, mucolytic agents, corticoids and antibiotics, as well as hyper-dehydration and bronchoaspiration [10]. The etiology is unspecific and is considered the final stage of diverse pathological processes. The physiotherapeutic sessions lasted one hour, with inhalation of saline solution associated with postural drainage in the lateral decubitus position, vibrocompression and active-assisted mobilization of the thorax.

Buenos Aires ;59 1: The physiopathology consists of colonization of microorganisms and in the interaction of several enzymes and chemical mediators that cause inflammatory reactions and destruction of the bronchial tree; there is infiltration of neutrophils in the tissue that reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].

Am J Physiol ; Moreover, bronchiectasis is frequently seen in patients with acquired immunodeficiency virus [9].

Positioning versus postural drainage. Eur Respir J ; Analyzing the results, they observed a greater impact on the health of broquiectasia patients that utilized Flutter, reflected in the number of hospitalizations and in the pulmonary function.

Clinical manifestations of the disease include chronic cough, fever and purulent voluminous expectoration with a fetid odor [1]. Postural drainage, percussion, vibration, shaking, cough and forced expiration techniques were utilized. POSTURAL DRAINAGE Postural drainage consists in using gravitational forces from the positioning of the bronquiectaasia so as to increase the transportation of mucous from lobes and specific sections of the lungs in the direction of the central airways, where the secretions should be removed more rapidly through coughing and aspiration [12,15].

Int J Clin Pract.

Other causes include infections, obstructions, inhalation and aspiration of ammonia, gastric aspiration, alcoholism, heroin use, allergies, rheumatologic and neurological diseases, non-specific low respiratory function after infections, cystic fibrosis and primary immunodeficiency [5,8].

This requires the assistance of a professional, which can make the necessary daily treatment difficult. In Brazil, the main causes are viral or bacterial respiratory infections during childhood as well as tuberculosis [7]. This procedure promotes the mobilization of the secretions by means fisiotearpia vibrations [15] and is performed bronquisctasia the patient in varying drainage positions [11].

Infection with Mycobacterium avium complex in patients without predisposing conditions. Jones A, Rowe BH. A comparison of the therapeutic effectiveness of and preference for postural drainage and percussion, intrapulmonary percussive ventilation, and high-frequency chest wall compression in hospitalized cystic fibrosis patients.

In the works by Caromano et al. New physiotherapeutic techniques appeared including the Flutter device, autogenic drainage, forced expiration technique, active cycle, expiratory positive pressure therapy and intrapulmonary percussive ventilation [3,11,12,14]. J Pneumol ; The efficacy of percussion and postural drainage requires the assistance of a professional, which can make the daily use of therapy difficult [16].

NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

For this reason, in some countries, physiotherapists have utilized techniques that facilitate application and thus independence of the patient [13]. Two deaths occurred, and repetitive hospitalizations were more frequent among the clinically treated patients.

Postural drainage and chest clapping are commonly used clearence however, bronquiectasoa are few published comparative population studies or reviews of techniques. Alternatives to percussion and postural drainage: Med J ; 1: Bronchiectasis most frequently involves both the lower lobes; when the involvement is unilateral it affects the terminal bronchi and bronchia and is more frequently seen on the left and in the lingula and medial fisipterapia.

Bilateral fisioterxpia resection for bronchiectasis: Bronchopneumonia with serious sequelae in children with evidence of adenovirus type 21 infection. Previous article Back to the Top Next article. Gomes Neto et al. Cohen M, Sahn SA.