PHYSIOTHERAPY IN COMBINATION

For persistent secretion retention and tracheobronchial instability, a physiotherapeutic approach is often indicated in addition to medication.
One of the physiotherapeutic respiratory treatments recommended by the Deutsche Atemwegsliga is to inhale saline solution together with PEP PEP
PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
breathing. The use of inhaled saline solution is recommended for secretolysis secretolysis
Production of thin fluid mucus (secretolysis) for its eased removal.
. PEP PEP
PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
breathing helps to mobilise the secretion, ventilate obstructed regions of the lungs, and prevent tracheobronchial collapse1.
When PARI nebulisers are used, inhalation of the active agent can be combined with effective physiotherapy to save time: The various PARI PEP systems can be fitted onto PARI nebulisers very easily, so that inhalation treatment and PEP PEP
PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
breathing can be carried out at the same time.

The following combinations are possible:

  • PARI PEP S system with all nebulisers except PARI LC SPRINT BABY, PARI BABY and PARI TIA S.
  • PARI PEP systems I and II with PARI LC PLUS, PARI LC STAR and PARI LL nebulisers

When a physiological saline solution is used as the carrier solution, the patient receives the additional benefits of the secretolytic effect of the saline itself as well as the action of the medication2.

sources:

1 Weise et al. 2008  Recommendations for physiotherapeutic respiratory therapy by the Deutsche Atemwegsliga

2 Inhalation News October 2008