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Multicenter Study
. 2018;16(1):eAO3856.
doi: 10.1590/s1679-45082018ao3856. Epub 2018 Apr 23.

Bronchial hygiene techniques in patients on mechanical ventilation: what are used and why?

[Article in Portuguese, English]
Isabela Naiara Evangelista Matilde  1 , Raquel Afonso Caserta Eid  1 , Andréia Ferreira Nunes  1 , Alexandre Ricardo Pepe Ambrozin  2 , Renata Henn Moura  1 , Denise Carnieli-Cazati  1 , Karina Tavares Timenetsky  1
Affiliations
Multicenter Study

Bronchial hygiene techniques in patients on mechanical ventilation: what are used and why?

[Article in Portuguese, English]
Isabela Naiara Evangelista Matilde et al. Einstein (Sao Paulo). 2018.

Abstract
in English, Portuguese

Objective To analyze and describe the maneuvers most commonly used in clinical practice by physical therapists and the reasons for choosing them. Methods A prospective multicenter study using a questionnaire. The sample consisted of physical therapists from five hospitals (three private hospitals, a teaching hospital and a public hospital). Results A total of 185 questionnaires were filled in. Most professionals had graduated 6 to 10 years before and over had over 10 years of intensive care unit experience. The most often used maneuvers were vibrocompression, hyperinflation, postural drainage, tracheal suction and motor mobilization. The most frequent reason for choosing these maneuvers was "I notice they are more efficient in clinical practice." Conclusion Physical therapy is mostly based on individual experience acquired in the clinical practice, and not on the scientific literature.

Objetivo: Analisar e descrever as manobras mais usadas na prática clínica pelos fisioterapeutas e os motivos para esta escolha.

Métodos: Estudo prospectivo e multicêntrico, realizado por meio de um questionário. A amostra foi composta por colaboradores fisioterapeutas de cinco hospitais, sendo três particulares, um hospital escola e um público.

Resultados: Foram preenchidos 185 questionários. A maioria dos profissionais possuía de 6 a 10 anos de formação e mais de 10 anos de experiência em unidades de terapia intensiva. As manobras mais assinaladas foram: vibrocompressão, hiperinsuflação, drenagem postural, aspiração traqueal e mobilização motora. O motivo de escolha prevalente destas manobras foi “Eu vejo ser mais eficaz na prática clínica”.

Conclusão: A fisioterapia baseia-se na prática clínica adquirida ao longo da experiência individual, não sendo fomentada pela literatura científica.

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Conflict of interest statement

Conflict of interest:

none.

References

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