Intensive and Critical Care Nursing
Volume 25, Issue 4 , Pages 199-207 , August 2009

Manual hyperinflation of intubated and mechanically ventilated patients in Dutch intensive care units—A survey into current practice and knowledge

  • Frederique Paulus

      Affiliations

    • Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author at: Department of Intensive Care, C3-323, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands. Tel.: +31 20 5662509; fax: +31 20 5669568.
    • ,
  • Jan M. Binnekade

      Affiliations

    • Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Pauline Middelhoek

      Affiliations

    • Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Marcus J. SchuItz

      Affiliations

    • Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • Laboratory for Experimental Intensive Care and Anesthesiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Margreeth B. Vroom

      Affiliations

    • Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

,Accepted 10 April 2009.

References 

  1. Clarke RC, Kelly BE, Convery PN, Fee JP. Ventilatory characteristics in mechanically ventilated patients during manual hyperventilation for chest physiotherapy. Anaesthesia. 1999;54(10):936–940
  2. Hodgson C, Carroll S, Denehy L. A survey of manual hyperinflation in Australian hospitals. Aust J Physiother. 1999;45(3):185–193
  3. Jones AY. Secretion movement during manual lung inflation and mechanical ventilation. Respir Physiol Neurobiol. 2002;132(3):321–327
  4. King D, Morrell A. A survey on manual hyperinflation as a physiotherapy technique in intensive care units. Physiotherapy. 1992;78(10):
  5. Levy MM. Finding out what we do in the ICU. Crit Care Med. 2006;34(1):227–228
  6. Maa SH, Hung TJ, Hsu KH, Hsieh YI, Wang KY, Wang CH, et al. Manual hyperinflation improves alveolar recruitment in difficult-to-wean patients. Chest. 2005;128(4):2714–2721
  7. Maxwell LJ, Ellis ER. Pattern of ventilation during manual hyperinflation performed by physiotherapists. Anaesthesia. 2007;62(1):27–33
  8. Meadows KA. So you want to do research? 5: Questionnaire design. Br J Commun Nurs. 2003;8(12):562–570
  9. Patman S, Jenkins S, Smith K. Manual hyperinflation: consistency and modification of the technique by physiotherapists. Physiother Res Int. 2001;6(2):106–117
  10. Patman S, Jenkins S, Stiller K. Physiotherapy does not prevent, or hasten recovery from, ventilator-associated pneumonia in patients with acquired brain injury. Intensive Care Med. 2009;35(2):258–265
  11. Redfern J, Ellis E, Holmes W. The use of a pressure manometer enhances student physiotherapists’ performance during manual hyperinflation. Aust J Physiother. 2001;47(2):121–131
  12. Robson WP. To bag or not to bag? Manual hyperinflation in intensive care. Intensive Crit Care Nurs. 1998;14(5):239–243
  13. Singer M, Vermaat J, Hall G, Latter G, Patel M. Hemodynamic effects of manual hyperinflation in critically ill mechanically ventilated patients. Chest. 1994;106(4):1182–1187

PII: S0964-3397(09)00040-8

doi: 10.1016/j.iccn.2009.04.003

Intensive and Critical Care Nursing
Volume 25, Issue 4 , Pages 199-207 , August 2009

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