CCP Podcast 056: Got to help them cough! With Rachael Moses

 November 10

by Jonathan Downham

Selecting the intervention in Intubated patients: Evidence, Guidelines and Clinical Application

This is a chat with Rachael Moses (@rachaelmoses) who is a consultant respiratory physiotherapist. I noticed from a twitter post that she had been at a meeting and presented on the above topic. She was kind enough to chat with me for the podcast. We talked about a number of issues but mainly discussed the various ways in which we can help the ventilated patient to clear their secretions.

I certainly found out a few things I didn’t know about and some equipment I had not heard of before. We discussed the Biphasic Cuirass Ventilation, the inCourage® Airway Clearance TherapyThe Vest® SystemElectromed SmartVest® System, Intrapulmonary Percussive Ventilation IPV, the MetaNeb® Hill Rom and Mechanical In-Exsufflation.

Lots of new and old techniques as well as the more traditional hands-on ways of getting the secretions up and out.

Some of the research papers we discussed are below.

Preliminary evaluation of high-frequency chest compression for secretion clearance in mechanically ventilated patients.

Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patients Anderson et al

Efficacy of mechanical insufflation-exsufflation in extubating unweanable subjects with restrictive pulmonary disorders.


Interview Questions for Advanced Critical Care Practitioners

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