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.

Author: Tule Bradal
Country: Swaziland
Language: English (Spanish)
Genre: Medical
Published (Last): 8 July 2012
Pages: 287
PDF File Size: 20.10 Mb
ePub File Size: 17.86 Mb
ISBN: 660-1-81345-902-2
Downloads: 34334
Price: Free* [*Free Regsitration Required]
Uploader: Gardakazahn

However, due to the emergence of preventative programs in developed countries, the number of hospitalizations for bronchiectasis has dropped over the last few decades, with high prevalence and incidence only in under-developed countries [4,5]. The follow up showed that most of the surgically treated patients had significant symptoms improvement and rarely needed to be re-hospitalized.

Surgical management of bronchiectasis. Os pacientes tratados cirurgicamente tiveram acentuada melhora dos sintomas, raramente necessitando ser reinternados. J Thorac Surg ; Moreover, the final positive expiratory pressure stabilized or improved the pulmonary function, a result that had already been demonstrated in another study in by the same authors, who compared the positive expiratory pressure with postural drainage and percussion with the former being more efficacious.

Moreover, bronchiectasis is frequently seen in patients with acquired immunodeficiency virus [9]. Surg Gynecol Obstet ; It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments. The pulmonary lesions were unilateral in Enlargement of the bronchial arteries and their anastomoses with the pulmonary arteries in bronchiectasis. Management of massive hemoptysis by bronchial artery embolization.

NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

The physiopathology consists of colonization of microorganisms and in the interaction of several enzymes and chemical mediators that cause inflammatory reactions and destruction of the bronchial tree; there is infiltration of neutrophils in the tissue that reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4]. Gomes Neto et al.

  BEBER JOGAR [email protected] ER PDF

Dis Chest ; Reviews of publications and field studies emerged due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis [17]. The presented beneficial effects with an increase in the expectoration and pulmonary clearance; however, statistically significant effects bronqjiectasia the pulmonary function variables or differences between the bronqkiectasia of manual and mechanical techniques were not observed.

Broqnuiectasia Pediatr Surg ; How to cite this article. 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]. J Lab Clin Med ; Sputum elastase in steady-state bronchiectasis.

All the contents of this journal, except where otherwise noted, is fisiotedapia under a Creative Commons Attribution License. The immunological component of the celular inflammatory infiltrate in bronchiectasis.

Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort. Langenderfer [11] added, following bronquiecasia data of the American Association for Respiratory Carethat the contraindications of the ‘Trendelenburg’ position are: The cylindrical form is characterized by homogenous dilation but maintains its form and communication with the distal parenchyma [5].

Portal Regional da BVS

Arcasoy SM, Kotloff R. 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]. Keywords Respiratory tract diseases. The clinical history and radiological and computed tomography findings enable diagnosis [2,8].

The affected airways become flaccid and tortuous with obstructions and fibrosis [2]. For this reason, in some countries, physiotherapists have utilized techniques that facilitate application and thus independence of the patient [13]. Bronquiectasia localizada e multissegmentar: The authors concluded that such techniques are equally efficacious in the removal of secretions from patients with bronchiectasis.

Bronchopneumonia with serious sequelae in children with evidence of adenovirus type 21 infection. The current management of patients with bronchiectasis: The most common symptoms were cough Infection with Mycobacterium avium complex in patients without predisposing conditions.

Bronchiectasis: diagnostic and therapeutic features A study of patients

This technique has been scientifically proven to be relevant in the bronchial hygiene of patients suffering from cystic fibrosis and bronchiectasis [15]. Med J ; 1: Ann Thorac Surg ; The respiratory physiotherapeutic treatment makes conventional clearance techniques, such as postural drainage and percussion, available. Among the resources utilized for bronchial clearance, postural drainage with percussion have been the subject of few studies, except when they are associated to other techniques, with the exception of the study by Van der Schans et al.

  BS EN 60669-1 PDF

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]. Physiotherapeutic interventions and clinical manifestations of the disease reflect in the psychological and social aspects of the patient, as despite of guaranteeing an improvement in the bronchial mucous transportation, the disease can have negative effects such as dependence on interventions by a professional and the necessity of making therapy every day.

Hypersecretion of the airways predominates in the morning or with changes in position, the patients can present with hemoptysis, weight loss, lack of appetite, halitosis, lethargy and prostration.

Previous article Back to the Top Next article. POSTURAL DRAINAGE Postural drainage consists in using gravitational forces from the positioning of the patient so as to increase the transportation of mucous from lobes and specific sections of the lungs in the direction of the central airways, where the secretions should be removed more rapidly through coughing and aspiration [12,15].

Postural drainage, percussion, vibration, shaking, cough and bronquuiectasia expiration techniques were utilized. Van der Schans et al. Jamnik S, Santoro IL. Support All scientific articles published at www.