A pilot study on the non-invasive management of tracheobronchial secretions in tracheostomised patients
| Autor: | Stefano Belli, Bruno Balbi, Ilaria Prince, Davide Cattaneo, Gloria Savio, Francesco D'Abrosca |
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| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Airway clearance Respiratory Therapy medicine.medical_treatment Pilot Projects Suction Chest Physical Therapy 03 medical and health sciences 0302 clinical medicine Tracheostomy Immunology and Allergy Medicine Humans Pulmonary rehabilitation 030212 general & internal medicine Adverse effect Genetics (clinical) Aged Aged 80 and over business.industry Non invasive Disease Management Middle Aged Mucus 030228 respiratory system Anesthesia Arterial blood Drainage Feasibility Studies Female Blood Gas Analysis business Pulmonary Ventilation |
| Zdroj: | The clinical respiratory journalREFERENCES. 13(10) |
| ISSN: | 1752-699X |
| Popis: | INTRODUCTION/OBJECTIVES The aim of our study was to assess the safety, efficacy and feasibility of an Expiratory Flow Accelerator (EFA) device, Free Aspire, in reducing the need for daily suctions in tracheostomised (TCS) patients. METHODS Twenty-five patients (13 males, 12 females, aged 69.88 ± 9.06 years) were investigated. The number of superficial/deep suctions, shallows, arterial blood gas (ABG) analysis, perception of mucus encumbrance (Visual Numeric Scale, VNS) and adverse event were recorded for five days. On the first two days (T1-T2), suctioning was performed as usual, on the following three days (T3, T4, T5), patients were treated also with Free Aspire (20 min, 3 times a day). RESULTS/CONCLUSION The use of the non-invasive device was associated with a decrease of total number of aspirations from T2 to T5 (8.48 ± 2.62 vs 4.48 ± 3.08, P = 0.0003). Total number of daily aspirations decreased over the five days (8.68 ± 3.64 vs 4.48 ± 3.08, P = 0.0009). Deep aspirations decreased from T1 to T5 (6.16 ± 3.53 vs 1.80 ± 1.50, P = 0.0001). ABG data confirmed that no significant side effects occurred. VNS score decreased from 7.03 ± 1.42 at T1 to 4.05 ± 1.80 at T5 (P |
| Databáze: | OpenAIRE |
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