Intermittent positive pressure breathing
Intermittent positive pressure breathing (IPPB) is a respiratory therapy treatment for people who are hypoventilating. While not a preferred method due to cost,[1] IPPB is used to expand the lungs, deliver aerosol medications, and in some circumstances ventilate the patient.[2]
Indications
IPPB may be indicated for patients who are at risk for developing atelectasis and who are unable or unwilling to breathe deeply without assistance.[3] In patients with severe lung hyperinflation, IPPB may decrease dyspnea and discomfort during nebulized therapy.[4]
Contraindications
Most contraindications are relative, such as nausea, hemodynamic instability,[5] tracheal fistula, singulation and hemoptysis.[6] Untreated tension pneumothorax is an absolute contraindication.[7]
References
- ^ Thomas JA, McIntosh JM (1994). "Are incentive spirometry, intermittent positive pressure breathing, and deep breathing exercises effective in the prevention of postoperative pulmonary complications after upper abdominal surgery? A systematic overview and meta-analysis". Phys Ther. 74 (1): 3–16. PMID 8265725.
- ^ Handelsman H (1991). "Intermittent positive pressure breathing (IPPB) therapy". Health Technology Assessment Reports (1): 1–9. PMID 1810351.
- ^ Shelledy DC, Mikles SP (2001). "Patient assessment and respiratory care plan development.". Critical thinking in respiratory care. New York: McGraw-Hill. ISBN 978-0-07-134474-6.
{{cite book}}: Unknown parameter|editors=ignored (|editor=suggested) (help) - ^ Janssens JP, de Muralt B, Titelion V; De Muralt; Titelion (2000). "Management of dyspnea in severe chronic obstructive pulmonary disease". J Pain Sympt Manage. 19 (5): 378–92. doi:10.1016/S0885-3924(00)00129-9.
{{cite journal}}: CS1 maint: multiple names: authors list (link) - ^ Schilling JP, Kasik JE (1980). "Intermittent positive pressure breathing: a continuing controversy". J Iowa Med Soc. 70 (3): 99–100, 102–103.
- ^ Shapiro BA, Peterson J, Carne RD (1982). "Complications of mechanical aids to intermittent lung inflation". Respir Care. 27 (4): 467–70.
{{cite journal}}: CS1 maint: multiple names: authors list (link) - ^ Scanlan CL, Wilkins RL, Stoller JK (1999). Egan’s fundamentals of respiratory care (7th ed.). St. Louis: Mosby. pp. 777–782.
{{cite book}}: CS1 maint: multiple names: authors list (link)
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