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.

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The segmental and lobular physiology and pathology of the lung. These techniques are efficacious in preventing bronchial mucous retention. The surgical treatment of multisegmental and localized bronchiectasis.

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In the literature, only one study, published by Van der Schans et al. The follow bronquiecyasia showed that most of the surgically treated patients had significant symptoms improvement and rarely needed to be re-hospitalized.

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.

Clinical manifestations are chronic cough, fever and voluminous expectoration, with a fetid odor. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis.

Fink [15] added that in the clinical practice, percussion with postural drainage is effective in the transportation of pulmonary secretions improving the well-being of the patient. Finally, McIlwaine et al.


Bronchiectasis: diagnostic and therapeutic features A study of patients

Online Submission Register here Advanced Search. Effects of postural drainage have been investigated using pulmonary function tests and analysis of the arterial gases. Keywords Respiratory tract diseases. The varicose form, on the other hand, presents with greater dilation, local constrictions and an fisioterpaia format; the most severe form is represented by the saccate form, with rounded dilations and the absence of communication with the pulmonary parenchyma [1].

The majority of the published studies do not show significant differences in the results when comparing the efficacy of the clearance techniques, suggesting that the most comfortable technique and the one that has less social compromise should be utilized for the patient. Management of massive hemoptysis by bronchial artery embolization.

Alternatives to percussion and postural drainage: The patient should remain for three to fifteen minutes in each position, giving a minimum amount of time of one hour at a frequency of three to four times per day.

Bronchopneumonia with serious sequelae in children with evidence of adenovirus type 21 infection.

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. Arcasoy SM, Kotloff R. The bronquiectqsia management of patients with bronchiectasis: Sputum elastase in steady-state bronchiectasis. Buenos Aires ;59 1: Clinical manifestations of the disease include chronic cough, fever and purulent voluminous expectoration with a fetid odor [1].

From these results, the authors concluded that respiratory physiotherapy by means of bronchial hygiene was efficacious without imposing an excessive physical load. 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 bronquiectaisa reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].

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Jones A, Rowe BH. Moreover, bronchiectasis is frequently seen in patients with acquired immunodeficiency virus [9]. Curr Opin Infect Dis. Suppurative disease of the lung and pleura: On the other hand, further studies are necessary the identify physiotherapeutic protocols, their duration, repetitions, frequency, number of professionals involved, description of the selected techniques and the cost-benefit fisiotefapia for the patient [12,17].

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A comparison of the therapeutic effectiveness of and preference for postural drainage and percussion, intrapulmonary percussive ventilation, and high-frequency chest wall bronquirctasia in hospitalized cystic fibrosis patients. The immunological component of the celular inflammatory infiltrate in bronchiectasis. The affected airways become flaccid and tortuous with obstructions and fibrosis [2].

In this context, this study aimed at evaluating the bronquiiectasia of postural drainage and chest clapping on bronchus clearence in bronchiectasis patients and to compare the effects and associations of these techniques with others reported in the literature.