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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Previous history of pneumonia in childhood was detected in Correlation of CT findings with clinical evaluation in patients with symptomatic bronchiectasis.

Reviews of publications and field studies bronqujectasia due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis [17].

N Eng J Med ; Previous article Back to the Top Next article. Moreover, the final positive expiratory pressure stabilized or improved the pulmonary function, a result that had already been demonstrated in another study in by the same authors, who compared the positive expiratory pressure with postural drainage and percussion with the former being more efficacious.

Brit Med J ; 1: Arcasoy SM, Kotloff R.

NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

For Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease. Van der Schans et al. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis. Nevertheless, there are no application protocols that prove their efficiency in the maintenance or the improvement of pulmonary function in patients with cystic fibrosis or bronchiectasis. In the works by Caromano et al.


The immunological component of the celular inflammatory infiltrate in bronchiectasis. In the literature, only one study, published by Van der Schans et al.

Surgical management of bronchiectasis. Jones A, Rowe BH. Infection with Mycobacterium avium complex in patients without predisposing conditions. The etiology of bronchiectasis is non-specific, represented as the final stage of several pathologic processes [2].

Finally, McIlwaine et al.

Keywords Respiratory tract diseases. It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments.

In Brazil, the main causes are viral or bacterial respiratory infections during childhood as well as tuberculosis [7]. Management of pulmonary disease in patients with cystic fibrosis. Several studies indicate that postural drainage with percussion is efficacious in bronchial hygiene.

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The contraindications, according to the American Association of Respiratory Careas reported by Fink [15] include pulmonary tuberculosis, tumoral resection from the thorax or neck, pulmonary contusion and coagulopathies.

Two deaths occurred, and repetitive hospitalizations were more frequent among the clinically treated patients. Suppurative disease of the lung and pleura: Thoracic percussion also increases the intrathoracic pressure and hypoxemia, with the latter being unimportant when the technique is used for periods of less than 30 seconds and combined with three or four lung expansion exercises [13].

Positioning versus postural drainage. Current strategy for surgical management of bronchiectasis. Clinical manifestations are chronic cough, fever and voluminous expectoration, with a fetid odor. The Brazilian Journal of Cardiovascular Surgery is indexed in: The majority of the published studies do not show significant differences in the results when comparing the efficacy of the clearance techniques, suggesting that the most comfortable technique and the one that has less social compromise should be utilized for the patient.


Hum Pathol ; An investigation into causative factors in patients with bronchiectasis. Bronchopneumonia with serious sequelae in children with evidence of adenovirus type 21 infection. Physiotherapy and bronchial mucus transport. Fink [15] added that in the clinical practice, percussion with postural drainage is effective in the transportation of pulmonary secretions improving the well-being of the patient. The segmental and lobular physiology and pathology of the lung.

Other procedures are also utilized such as the Flutter device, autogenic drainage, the positive expiratory pressure technique, forced expiration techniques and intrapulmonary percussive ventilation. Bronchiectasis most frequently involves both the lower lobes; when the involvement is unilateral it affects the terminal bronchi and bronchia and is more frequently seen on the left and in the lingula and medial lobe. The respiratory physiotherapeutic treatment makes conventional clearance techniques, such as postural drainage and percussion, available.

Physiotherapy for airway clearance in adults. Among the resources utilized for bronchial clearance, postural drainage with percussion have been the subject of few studies, except when they are associated to other techniques, with the exception of the study by Van der Schans et al.

Jamnik S, Santoro IL. Gomes Neto et al.

Causes of death in patients with bronchiectasis. Buenos Aires ;59 1: