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”

A Homemade Mask That Might Actually Work?

Ok, so homemade masks are THE THING right now. You will see that even I am wearing one in my “About” picture. My wonderful PTA Melissa made this one. It has a pocket on the inside in which we have placed HEPA filters cut from the vacuum bags this doctor recommends. Some research will showContinue reading “A Homemade Mask That Might Actually Work?”

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)”

The Dangers of Providing Necessary Care

We know the doctors, nurses, respiratory therapists, anesthetists, and all those other incredible people caring for patients in the ICU and ED are risking their lives every moment. But there is another side of this pandemic: the side that stays home. Patients that stay home or are sent home still require care. Many may haveContinue reading “The Dangers of Providing Necessary Care”

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”

Your Mission, Should You Choose to Accept It…

Depending on your setting and expertise, you may or may not be asked to take on a special role during this time. There are some resources to assist you from the World Confederation of Physical Therapy. But don’t feel like you have to do everything. We have such a varied skill set as a professionContinue reading “Your Mission, Should You Choose to Accept It…”