Abstract:
The management of bronchial secretions is one of the main problems encountered in a wide spectrum of medical conditions ranging from respiratory disorders, neuromuscular disorders and patients undergoing either thoracic or abdominal surgery. The purpose of this review is illustrate to the reader the different ACTs currently available and the related evidence present in literature. Alongside methods with a strong background behind as postural drainage, manual techniques or PEP systems, the current orientation is increasingly aimed at devices that can mobilize and / or remove secretions. Cough Assist, Vacuum Techniques, systems that modulate airflow have more and more scientific evidence. Different principles combination is a new field of investigation that goes toward an increasing of clinical complexity that will facing us.
摘要:
支气管分泌物的管理是在广泛的医疗状况中遇到的主要问题之一,包括呼吸系统疾病,神经肌肉疾病和接受胸部或腹部手术的患者。这篇综述的目的是向读者说明目前可用的不同的ACTs以及文献中存在的相关证据。除了具有强大背景的方法作为姿势引流,手动技术或PEP系统,当前的方向越来越多地针对可以动员和/或去除分泌物的设备。助咳,真空技术,调节气流的系统有越来越多的科学证据。不同原则的组合是一个新的研究领域,它将不断增加我们面临的临床复杂性。