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- Title
Ventilator hyperinflation: a survey of current physiotherapy practice in Australia and New Zealand.
- Authors
Hayes, Kate; Seller, Daniel; Webb, Melissa; Hodgson, Carol L.; Holland, Anne E.
- Abstract
Hyperinflation of the lungs is a technique commonly employed by physiotherapists in the intensive care setting, Whilst there is extensive evidence to support the use of manual hyperinflation, there is limited evidence regarding the efficacy of ventilator hyperinflation, The aim of this study was to investigate the current physiotherapy practice of ventilator hyperinflation throughout Australia and New Zealand, A purpose-designed postal survey was distributed to senior physiotherapists in all intensive care units throughout Australia and New Zealand (n=189). A response rate of 87% was obtained (n=165). A minority of respondents (21 %, n=35/165) performed ventilator hyperinflation, A lack of training in ventilator hyperinflation was cited as the main barrier to use (44%, n=46/105). Ventilator hyperinflation was most commonly performed by a senior physiotherapist in a tertiary intensive care unit. When performed, ventilator hyperinflation was used as an alternative to manual hyperinflation, to allow improved monitoring and control of ventilator parameters (74%, n=25/34) and maintain positive end expiratory pressure (59%, n=20134). Ventilator hyperinflation is not commonly used by physiotherapists in intensive care units throughout Australia and New Zealand and considerable variability was found in its application between respondents, Further studies are required to define optimal parameters for ventilator hyperinflation and promote standardised delivery of this technique.
- Publication
New Zealand Journal of Physiotherapy, 2011, Vol 39, Issue 3, p124
- ISSN
0303-7193
- Publication type
Journal Article