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

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 Therapy, The Vest® System, Electromed 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

The Content on the website is provided for FREE as is the podcast.

You could help support this work by going to Amazon via this link. This means that I will earn a small commission from any purchases you make with NO extra cost to yourself.

Thank you.

Amazon Link

[table id=1 /] [Stitcher_Radio_Logo] [get_in_touch_with_jonathan]