CO2 Retainers

So I’ve been talking about a lot of different techniques for increasing inflation, ventilation, and (ultimately) perfusion that therapists can utilize with patients. However, I’ve been mentioning here and there that some of these need to be utilized with caution in patients who have obstructive lung conditions. Please heed my warning. Here’s one of theContinue reading “CO2 Retainers”

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)”

The Basics of Lung Auscultation

If you are going to be providing pulmonary interventions, you should probably have a strong idea of how to auscultate the lungs. The importance of this is pretty paramount. You have to know WHAT you are listening for and you have to know HOW to listen. There are a lot of variables when it comesContinue reading “The Basics of Lung Auscultation”

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)”

Airway Clearance Techniques

Thanks for checking out the first blog post in this series about respiratory interventions for Rehab Clinicians! Airway Clearance Techniques (ACTs) are best practice for patients who are in acute exacerbation, sub-acute exacerbation, or are stable with obstructive lung conditions.Long-term management of obstructive lung disorders including cystic fibrosis, COPD, bronchiectasis, and chronic bronchitis, and thoseContinue reading “Airway Clearance Techniques”