Indications of manual hyperinflation

 · Patients receiving invasive mechanical ventilation who are unable to breathe spontaneously or produce an effective cough may retain pulmonary secretions leading to bronchial obstruction and atelectasis with the attendant adverse effects. 1,2 To enhance airway clearance, a maneuver known as manual hyperinflation, which involves lung ventilation with Cited by: 2.  · Manual lung hyperinflation (MHI) can enhance secretion clearance, improve total lung/thorax compliance and assistin the resolution of acute atelectasis. To enhance secretion clearance in the intubated patient, the evidence highlights the need to maximize expiratory flow. Chronic pulmonary diseases such as chronic obstructive pulmonary disease(COPD) have Cited by: 9. Manual hyperinflation involves the use of a Mapleson-C bagging circuit to encourage alveolar recruitment and proximal movement ofairways secretions. This is achieved by delivery ofa high volume inspiration, inspiratory hold, and quick release expiration.

Manual Hyperinflation = slow, deep breaths at greater than TV used to increase lung volume. A therapeutic manoeuvre often accompanied with other treatment techniques (positioning, manual techniques) e.g. to reverse lobar atelectasis. Indications - Acute lobar atelectasis (ALA) - To mobilise secretions. Indications The indications for the use of MH by physiotherapists in intubated patients vary, but may include one or a com-bination of the following: to improve oxygenation pre- and postsuctioning, to mobilize excess bronchial secretions and to reinflate areas of the collapsed lung [13, 14]. The perceived benefits of using MH in the UK [11] are. Chronic pulmonary diseases such as chronic obstructive pulmonary disease (COPD) have often been cited as potential precautions and/or contra-indications to the use of manual lung hyperinflation.

Manual (MHI) or ventilator hyperinflation (VHI) results in increased lung compliance in patients on mechanical ventilation and decreased airway resistance in. 12 thg 8, The exclusion criteria were contraindications to assume different positions, bilateral lung dysfunction, repeated mechanical ventilation. The use of manual hyperinflation in airway clearance. L. Denehy. ERS Journals Ltd The indications for the use of MH by physiotherapists in.