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

  1. ↑ 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.
  2. ↑ Handelsman H (1991). "Intermittent positive pressure breathing (IPPB) therapy". Health Technology Assessment Reports (1): 1–9. PMID 1810351.
  3. ↑ Shelledy DC, Mikles SP (2001). "Patient assessment and respiratory care plan development.". In Mishoe SC, Welch MA Jr. Critical thinking in respiratory care. New York: McGraw-Hill. ISBN 978-0-07-134474-6.
  4. ↑ 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.
  5. ↑ Schilling JP, Kasik JE (1980). "Intermittent positive pressure breathing: a continuing controversy". J Iowa Med Soc 70 (3): 99–100, 102–103.
  6. ↑ Shapiro BA, Peterson J, Carne RD (1982). "Complications of mechanical aids to intermittent lung inflation". Respir Care 27 (4): 467–70.
  7. ↑ Scanlan CL, Wilkins RL, Stoller JK (1999). Egan’s fundamentals of respiratory care (7th ed.). St. Louis: Mosby. pp. 777–782.