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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Fink [15] reported that nine of twelve possible positions are required to drain all the areas of the lungs. The presented beneficial effects with an increase in the expectoration and pulmonary clearance; however, statistically significant effects in the pulmonary function variables or differences between the use of manual and mechanical techniques were not observed. Correlation of CT findings with clinical evaluation in patients with symptomatic bronchiectasis. N Engl J Med ; Bronchiectasis fsioterapia a frequently found disease in medical practice in Brazil leading to significant morbidity and decrease in quality of life of the affected individuals.

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]. Bilateral pulmonary resection for bronchiectasis: The pulmonary lesions were unilateral in J Bronquiecttasia Clin Med ; The physiotherapeutic sessions lasted one hour, with inhalation of saline solution associated with postural drainage in fisioteraoia lateral decubitus position, vibrocompression and active-assisted mobilization of the thorax.

Bronchiectasis: diagnostic and therapeutic features A study of patients

For this reason, in fisiotearpia countries, physiotherapists have utilized techniques that facilitate application and thus independence of the patient [13]. Hypertrophic accessory musculature, dyspnea, thoracic pain, fatigue, pulmonary auscultation with inspiratory stertor crackles and wheezes are observed during the physical examination, [5,7].


The etiology of bronchiectasis is non-specific, represented as the final stage of several pathologic processes [2]. The majority of cases have idiopathic causes and, to a lesser degree, a congenital cause, with deficiencies in the elements of the bronchial wall and the cilia [5]. Postural drainage, percussion, vibration, shaking, cough bronnquiectasia forced expiration techniques were utilized.

Infection with Mycobacterium avium complex in patients without predisposing conditions.

Am Rev Respir Dis ; Bronquiectasias en la infancia. Positioning versus postural drainage. Two deaths occurred, and repetitive hospitalizations were more frequent among the clinically treated patients.

Bronchiectasis in systemic diseases.

Portal Regional da BVS

Postural drainage and chest clapping are commonly used clearence however, there are few published comparative population studies or reviews of techniques. The patient should remain for three to fifteen minutes in each position, giving a minimum amount of time of one hour at a frequency of three to four times per day. Cinesioterapia em piscina na bronquiectasia: The mean quantity expectorated in the two programs did not give a statistically significant difference.

Surg Gynecol Obstet ; For this reason physiotherapists have been choosing techniques that give more independence to patients. Other procedures are also utilized such as the Flutter device, autogenic drainage, the positive expiratory pressure technique, forced expiration techniques and intrapulmonary percussive ventilation.

Nevertheless, there are no application protocols that prove their efficiency in the maintenance or the improvement of pulmonary function in patients with cystic fibrosis or bronchiectasis. Am J Pathol ; The Brazilian Journal of Cardiovascular Surgery is indexed in: This technique has been scientifically proven to be relevant in the bronchial hygiene of patients suffering from cystic fibrosis and bronchiectasis [15]. There is evidence of their efficacy due to the bronwuiectasia velocity of mucous transportation, the gas exchange and improvement in the pulmonary function.

Bronquiectasias en pacientes HIV bronqhiectasia. Ann Thorac Surg ; Results of surgical and conservative management: A review of cases.


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A continuing challenge in developing countries. Management of massive hemoptysis by bronchial artery embolization.

Obliterative bronchitis and bronchiolitis with bronchiectasis. All patients received antibiotics and postural drainage, and 88 of them younger and with a higher functional reserve were also submitted to pulmonary resections 82 unilateral and 6 bilateral. Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort. Bronchography in isolation assesses the extent of the disease and verifies if there is a necessity for surgery.

The segmental and lobular physiology and pathology of the lung. Langenderfer [11] added, following the data of the American Association for Respiratory Carethat the contraindications of the ‘Trendelenburg’ position are: In the majority of the patients, lung resection surgery improved permanently the prolonged bronchopulmonary symptoms of patients with bronchiectasis, differently from the patients who received only clinical treatment.

Thus, there is an apparent need for further studies comparing conventional clearance techniques in particular in respect to bronchiectasis. 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.

Int J Clin Pract. In Brazil, the main causes are viral or bacterial respiratory infections during childhood as well as tuberculosis [7]. Thoracic percussion also increases the intrathoracic pressure and hypoxemia, with the latter being unimportant when the technique is used for periods of less than 30 seconds and combined with three or four lung expansion exercises [13].

The etiology is unspecific and is considered the final stage of diverse pathological processes.

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