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Chapter 55 - Paediatric Airway Clearance for Acute Management on Retrieval

Published online by Cambridge University Press:  17 December 2021

Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

The techniques outlined below should only be used by practitioners clinically trained in their use by a competent physiotherapist. Preparation by contacting local physiotherapy service is advisable. If a local physiotherapist is available they should be contacted for assistance. The procedures outlined below should only be employed when the patient’s respiratory status demands it to optimise clinical condition for transfer.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Galvis, AG, Reyes, G, Nelson, WB. Bedside management of lung collapse in children on mechanical ventilation. Pediatr Pulmonol 1994; 17:326–30.CrossRefGoogle ScholarPubMed
Gregson, RK, Shannon, H, Stocks, J, et al. The unique contribution of manual chest compression-vibrations to airflow during physiotherapy in sedated, fully ventilated children. Paed Crit Care Med 2012;13(2): e97–102.Google ScholarPubMed
Nyman, A, Puppala, K, Colthurst, S, et al. Safety and efficacy of intratracheal DNase with physiotherapy in severe status asthmaticus. Crit Care 2011; 15:(Suppl 1):P185.CrossRefGoogle Scholar

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