Intermittent positive pressure breathing
| Intermittent positive pressure breathing | |
|---|---|
| Other names | Intermittent Positive Pressure Ventilation |
| Specialty | pulmonology |
Intermittent positive pressure breathing (IPPB) is a
respiratory therapy treatment for people who are hypoventilating. While not a preferred method due to cost,[1] IPPB is used to expand the lungs, deliver aerosol medications, and in some circumstances ventilate the patient.[2]
Indications
IPPB may be indicated for patients who are at risk for developing
dyspnea and discomfort during nebulized therapy.[4]
Contraindications
Most contraindications are relative, such as nausea,
tension pneumothorax is an absolute contraindication.[7]
IMPLEMENTATION
When treating atelectasis -
- Therapy should be volume-oriented
2. Tidal volumes(VT) must be measured
3. VT goals must be set
4. VT goal of 10-15mL/kg ofbody weight
5. Pressure can be increased to reach VT goal if tolerated by patient.
When treating atelectasis, IPPB is only useful in the treatment of atelectasis if the volume delivered exceeds those volumes achieved by the patient's spontaneous efforts.
References
- PMID 8265725.
- PMID 1810351.
- ISBN 978-0-07-134474-6.
- PMID 10869878.
- ^ Schilling JP, Kasik JE (1980). "Intermittent positive pressure breathing: a continuing controversy". J Iowa Med Soc. 70 (3): 99–100, 102–103.
- ^ Shapiro BA, Peterson J, Carne RD (1982). "Complications of mechanical aids to intermittent lung inflation". Respir Care. 27 (4): 467–70.
- ^ Scanlan CL, Wilkins RL, Stoller JK (1999). Egan's fundamentals of respiratory care (7th ed.). St. Louis: Mosby. pp. 777–782.