The focus of this talk is on the use of airway clearance techniques to assist in the removal of secretions from the lungs with particular emphasizes on their use in the NICU and PICU setting. Until the early 1990’s the term, ‘‘Chest Physiotherapy’’ was synonymous with the terms, ‘‘airway clearance techniques, or postural drainage and percussion’’ with the latter being the traditional method of ...

duce the spread of Gram-negative bacteria.1 Meta-analyses have found that many nonpharmacologic interventions can significantly reduce the rate of ventilator-associated pneumonia; these include kinetic bed therapy, subglottic secretion drainage, heatand-moisture exchangers (rather than heated humidifiers), and oral decontamination with chlorhexidine.6 Environmental controls can prevent a large ...

Background: ETT is important in securing paediatric airway and its right size plays crucial role patients. The anatomy patients different from adults hence requires precise size. subglottic diameter being the narrowest portion of upper airway, determines USG safe, reliable, non-invasive tool used to estimate correct Conventional formulae included age height. Concerns prone position include acci...

BACKGROUND During invasive mechanical ventilation, secretions accumulate in the subglottic space; consequently, there is a risk of aspiration of these secretions into the airway during cuff deflation and extubation. To minimize this risk, 2 extubation methods are used. The first consists of introducing a suction catheter into the endotracheal tube (ETT) and the trachea. After initiating suction...

Few reports have described the use of endoscopic vacuum therapy (EVT) for duodenal defects [1–4]. We treated a complicated duodenal leak with EVT using the pull-through technique with a new type of open-pore polyurethanefoam drain (OPD) [5] and a novel type of open-pore film drain (OFD). Construction of an OFD is shown in ▶Video1. First the distal ends of two drainage tubes (Ventrol; 12–18Fr × ...

Described by Jean Chevaillier in 1967, autogenic drainage is an airway clearance technique that is widely used throughout Europe. The echnique is characterised by breathing control, where the individual adjusts the rate, depth and location of respiration in order to clear the hest of secretions independently. This paper describes the technique, based on the work of Chevaillier, offering a physi...