Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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Ann Thorac Surg ; Finally, McIlwaine et al.

Bronchiectasis: diagnostic and therapeutic features A study of patients

Reviews of publications and field studies emerged due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis [17]. The respiratory physiotherapeutic treatment makes conventional clearance techniques, such as postural drainage and percussion, available.

Immediate and long-term results of bronchial bronqulectasia embolization for life-threatening hemoptysis.

The physiopathology consists of colonization of microorganisms and in the interaction of several enzymes and chemical mediators that cause inflammatory reactions and destruction of the bronchial tree; there is infiltration of neutrophils in the tissue that reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].

Bronchiectasis in systemic diseases. The presented beneficial effects with an increase in the expectoration and pulmonary clearance; however, statistically significant effects in the pulmonary function variables or differences between the use of manual and mechanical techniques were not observed.

Portal Regional da BVS

Recent research reported that postural drainage and chest clapping are effective therapies to mobilize pulmonary secretions as they increase the velocity of mucus transportion, improving pulmonary function and gas exchange. POSTURAL DRAINAGE Postural drainage consists in using gravitational forces from the positioning of the patient so as to increase the transportation of mucous from lobes and specific sections of the lungs in the direction of the central airways, where the secretions should be removed more rapidly through coughing and aspiration [12,15].


Cinesioterapia em piscina na bronquiectasia: Causes of death in patients with bronchiectasis. Alternatives to percussion and postural drainage: Jamnik S, Santoro IL.

Surgical fisiotearpia of bronchiectasis. In the literature, only one study, published by Van der Schans et al. Several studies indicate that postural drainage with percussion is efficacious in bronchial hygiene.

Brit Med J ; 1: Fisioetrapia Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease.

Bronchopulmonary hygiene physical therapy in bronquiectasis and chronic obstructive disease: On the other hand, further studies are necessary the identify physiotherapeutic protocols, their duration, repetitions, frequency, number of professionals involved, description of the selected techniques and the cost-benefit ratio for the patient [12,17].

Clinical manifestations of the disease include chronic cough, fever and purulent voluminous expectoration with a fetid odor [1]. Am J Pathol ; These techniques are efficacious in preventing bronchial mucous retention. An important chemoattractant in sputum of patients brlnquiectasia chronic inflammatory airway diseases.

Obliterative bronchitis and bronchiolitis with bronchiectasis.

New physiotherapeutic techniques appeared including the Flutter device, autogenic drainage, forced expiration technique, active cycle, expiratory positive pressure therapy bronquieftasia intrapulmonary percussive ventilation [3,11,12,14]. Bronchography in isolation assesses the extent of the disease and verifies if there is a necessity for surgery.


Suppurative disease of the lung and pleura: A comparison of the therapeutic effectiveness of and preference for postural drainage and percussion, intrapulmonary percussive ventilation, and high-frequency chest wall compression in hospitalized cystic fibrosis patients. Bronquiectasia localizada e multissegmentar: The immunological component of the celular inflammatory infiltrate in bronchiectasis. An investigation into causative factors in patients with bronchiectasis.

Med J ; 1: J Thorac Surg ; Gomes Neto et al. However, today they are associated with other techniques [11,14].

Other procedures are also utilized such as the Flutter device, autogenic drainage, the positive expiratory pressure technique, forced expiration techniques and intrapulmonary percussive ventilation. Dis Chest ; Previous history of pneumonia in childhood was detected in After establishing the existence of the disease and discarding the hypothesis of surgery, conservative treatment is initiated [4] which includes bronchodilator drugs, mucolytic agents, corticoids and antibiotics, as well as hyper-dehydration and bronchoaspiration [10].

Other causes include infections, obstructions, inhalation and aspiration of ammonia, gastric aspiration, alcoholism, heroin use, allergies, rheumatologic and neurological diseases, non-specific low respiratory function after infections, cystic fibrosis and primary immunodeficiency [5,8]. The follow up showed that most of the surgically treated patients had significant symptoms improvement and rarely needed to be re-hospitalized. Previous article Back to the Top Next article.