Proning

We have been hearing all kinds of things about proning. What’s the big deal? Aren’t we just flipping people over? Well… yes! That’s exactly what we are doing. But here’s why its a bit more complicated than that. We’ve already talked about the role of PTs in supporting and improving V/Q matching. Proning helps withContinue reading “Proning”

NIV/NIPPV

Already updated since first posting!!! So many acronyms… Non-Invasive Ventilation (NIV) and Non-Invasive Positive Pressure Ventilation (NIPPV) are some of the more advanced respiratory interventions being provided to some patients who experience COVID-related and non-COVID-related ARDS. These interventions are pretty much what they sound like: mechanical ventilation is provided to the patient with or withoutContinue reading “NIV/NIPPV”

Acute Respiratory Distress Syndrome (ARDS)

UPDATED This is a pretty hot topic lately. the presence of the acronym has increased exponentially all over the internet and media. Prior to two months ago, I’m betting you didn’t really think much about ARDS, but now I feel like I hear about it daily. Of course, my research direction definitely influences that. ButContinue reading “Acute Respiratory Distress Syndrome (ARDS)”

Segmental Breathing

Thanks for checking out the next post in the pulmonary rehab toolbox! We’re going to talk about the performance and use of segmental breathing techniques. In relationship to COVID-19, segmental breathing can be utilized to target specific lung segments that have been affected by alveolar collapse or damage, but it can also be utilized toContinue reading “Segmental Breathing”

Glossopharyngeal Breathing

Hi everyone! Thanks for sticking with me on my post series for the pulmonary rehab toolbox! In my post on V/Q matching I talked a little bit about the use of dynamic hyper inflation techniques including glossopharyngeal breathing. This is a technique that we typically utilize for patients who have spinal cord injuries or otherContinue reading “Glossopharyngeal Breathing”

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)”