Venous Thromboembolism (VTE) Part 2: PEs

Thanks for tuning in to part 2 of this two-part feature of VTE. The first segment, which focuses on DVTs, can be found here! So now we are going to focus on the more critical version of a VTE. Yes, DVTs are critical. They are important to assess and treat quickly. But they are lessContinue reading “Venous Thromboembolism (VTE) Part 2: PEs”

Venous Thromboembolism (VTE) Part 1: DVTs

UPDATED!!! This is the first half of a two-part installment on VTEs. Keep an eye out for part 2 on pulmonary embolisms (PEs) and how these are associated with COVID-19, coming soon! If you work in outpatient therapy, this has probably been on your radar with just about every post-operative patient that comes through yourContinue reading “Venous Thromboembolism (VTE) Part 1: DVTs”

The Counting Talk Test

Time to give you guys another tool. This one is especially important for patients with COVID-19, and it’s not terribly often that we get an objective measure for exertion. I’ve found the counting talk test to be critical in quantifying exertion in my patients with respiratory diagnoses. This measure is phenomenal for taking breathlessness inContinue reading “The Counting Talk Test”

Orthostasis

“Whoops! Down I go! I thought I was going up, but apparently not!” I have heard this many times. Sometimes I hear it from the people around me just generally throughout the day. They black out or see stars or feel “whoozy” or report being lightheaded when they stand up from the couch or getContinue reading “Orthostasis”

V/Q Matching

With new evidence emerging hourly in some cases, the more we learn about treating COVID-19, the more we need to know from a clinical intervention perspective for those in the rehabilitation fields. There is a lot of information out there for doctors and nurses and respiratory therapists. Unfortunately, many Rehab Therapists are being told toContinue reading “V/Q Matching”

Inspiratory Muscle Training (IMT)

What is an Inspiratory Muscle Trainer (IMT)? A device that strengthens the diaphragm and external intercostal muscles (muscles of inspiration) Provides controlled, graded resistance to inspiration Patients who can benefit from IMT use: COPD Respiratory Failure Recent Mechanical Ventilation Pneumonia Cystic Fibrosis   Congestive Heart Failure Pre/Post CABG     Pre/Post Lung Transplant ALS/GB/SCI Frailty/DebilityContinue reading “Inspiratory Muscle Training (IMT)”

Active Cycle of Breathing (ACBT)

The Active Cycle of Breathing is a critical tool for secretion mobilization. It can also be modified in several ways to address patient-specific needs. But the basic cycle is more than enough for most patients. The goal is to loosen secretions and get air underneath them so they can be mobilized (or coughed) out. IContinue reading “Active Cycle of Breathing (ACBT)”

The Incentive Spirometer

Uses of the Incentive Spirometer (IS) It is thought that the IS is used to reduce the risk of post-operative pulmonary complications (PPCs) by increasing total lung inflation, tidal volume, and vital capacity. What Does the Evidence Say?: The most current evidence DOES NOT support the use of incentive spirometry for any patient as aContinue reading “The Incentive Spirometer”

The Oscillatory Positive Expiratory Pressure Device (Acapella)

Don’t forget to read the basics of airway clearance techniques for full application of this tool! What is an Acapella Device? Provides Positive Expiratory Pressure (PEP) to exhalation Used for pulmonary hygiene to increase/maintain secretion mobility, increases  sputum production Promotes increased lung volumes due to re-inflation of collapsed airways Changes focus to Exhalation instead ofContinue reading “The Oscillatory Positive Expiratory Pressure Device (Acapella)”