Open AccessClinical Implications High Frequency Chest Wall Oscillation (HFCWO)
Author(s) -
E Mantellini,
Luca Perrero,
Salvatore Petrozzino,
Alessia Gatta,
Stefano Bona
Publication year - 2012
Publication title -
working paper of public health
Language(s) - English
Resource type - Journals
ISSN - 2279-9761
DOI - 10.4081/wpph.2012.6776
Subject(s) - medicine , incidence (geometry) , respiratory system , anesthesia , chest physiotherapy , physics , optics
Purpose: patients with neuromuscular diseases presents an high incidence of respiratory infections favoured by stagnation of deep bronchial secretions and deficit of cough. The aim of the study is to evaluate the correct treatment of this condition and the role of High Frequency Chest Wall Oscillation (HFCWO) in helping the removal of bronchial secretions and reduce the incidence of infections in patients with neuromuscular disease. Methods: analysis of the current bibliography related to respiratory infections and neuromuscular disease. PCEF (Peak Cough Expiratory Flow) is used as a standardized indicator of efficiency of cough. Results: the High Frequency Chest Wall Oscillation (HFCWO) is useful, in cases of increased production of mucus and impairment of muco-ciliary clearance, to remove the tracheobronchial secretions and reduce the incidence of infections. Conclusions: the correct approach to patients with neuromuscular disease and frequent respiratory infections is focused on treatment of cough ineffective and management of bronchial secretions. High Frequency Chest Wall Oscillation (HFCWO) (VEST) has a central role in treatment of cough ineffective and management of bronchial secretions reducing respiratory infections.