Journals / Turkish Thoracic Journal / 2019 / Cilt: 20 - Sayı: 4

Airway Clearance with Expiratory Flow Accelerator Technology: Effectiveness of the “Free Aspire” Device in Patients with Severe COPD

Pages
209–215
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

George’s Respiratory Questionnaire.RESULTS: Expiratory flow accelerator showed a significant pre- and post-improvement in ABG and a significantly greater improvementthan BP in PCEF, MIP, and 6MWT post-treatment.CONCLUSION: Expiratory flow accelerator is a valid device compared with BP as an adjunctive therapy for the treatment of patientswith severe COPD.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:OBJECTIVES: Chronic obstructive pulmonary disease (COPD) is associated with a higher risk of pulmonary infections.
📊
Key Findings & Data:This risk not onlynegatively affects patients’ quality of life but also increases social and health costs.
💡
Conclusion & Impact:George’s Respiratory Questionnaire.RESULTS: Expiratory flow accelerator showed a significant pre- and post-improvement in ABG and a significantly greater improvementthan BP in PCEF, MIP, and 6MWT post-treatment.CONCLUSION: Expiratory flow accelerator is a valid device compared with BP as an adjunctive therapy for the treatment of patientswith severe COPD.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVES: Chronic obstructive pulmonary disease (COPD) is associated with a higher risk of pulmonary infections. This risk not onlynegatively affects patients’ quality of life but also increases social and health costs. Hence, there is a need for an effective rehabilitativetreatment including airway clearance. The aim of this pilot study was to evaluate the efficacy of a new tool for bronchial clearance basedon expiratory flow accelerator (EFA) technology compared with positive expiratory pressure (PEP) treatment.MATERIALS AND METHODS: Twenty stable patients with COPD, Global Initiative for Chronic Obstructive Lung Disease 3–4 stage, wereenrolled and allocated to treatment with EFA or Bubble-PEP (BP) for 20 days during a pulmonary rehabilitation program. At baseline andthe end of treatment, the following parameters were measured: arterial blood gases (ABG); respiratory function, including peak coughexpiratory flow (PCEF), maximal inspiratory pressure (MIP), and maximal expiratory pressure exercise capacity using the 6-minute walktest (6MWT), dyspnea using the Medical Research Council scale, and quality of life using the St. George’s Respiratory Questionnaire.RESULTS: Expiratory flow accelerator showed a significant pre- and post-improvement in ABG and a significantly greater improvementthan BP in PCEF, MIP, and 6MWT post-treatment.CONCLUSION: Expiratory flow accelerator is a valid device compared with BP as an adjunctive therapy for the treatment of patientswith severe COPD.

🔖

Cite This Article

Patrizio, G., Andria, M. D., Abrosca, F. D., Cabiaglia, A., Tanzi, F., Garuti, G., Nicolini, A. (2022). Airway Clearance with Expiratory Flow Accelerator Technology: Effectiveness of the “Free Aspire” Device in Patients with Severe COPD. Turkish Thoracic Journal, Cilt: 20 - Sayı: 4, 209–215. https://ajindex.com/articles/618117

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (3)

  1. National Institute for Clinical Excellence (NICE): Chronic obstructive pulmonary disease in over 16s: diagnosis and management. NICE 2018, p.5-60
  2. GOLD Global Initiative for Chronic Obstructive Lung Disease 2018, p.1-123
  3. Celli BR, MacNee W; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004;23:932-46. [CrossRef] 4. Van Durme YMTA, Verhamme KMC, Stijnen T, et al. Prevalence, incidence, and lifetime risk for the development of COPD in the elderly: the Rotterdam study. Chest 2009;135:368-77. [CrossRef] 5. Chapman KR, Mannino DM, Soriano JB, et al. Epidemiology and costs of chronic obstructive pulmonary disease. Eur Respir J 2006;27:188-207. [CrossRef] 6. Celli BR, Halbert RJ, Isonaka S, et al. Population impact of different definitions of airways obstruction. Eur Respir J 2003;22:268- 73. [CrossRef] 7. Qaseem A, Wilt TJ, Weinberger SE, et al. Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline Update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med 2011;155:179-91. [CrossRef] 8. Russi EW, Karrer W, Brutsche M, et al. Diagnosis and management of chronic obstructive pulmonary disease: the Swiss guidelines. Official guidelines of the Swiss Respiratory Society. Respiration 2013;85:160-74. [CrossRef] 9. Osadnik CR, McDonald CF, Jones AP, et al. Airway clearance techniques for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2012;3:CD008328. [CrossRef] 10. Lee AL, Burge AT, Holland AE. Airway clearance techniques for bronchiectasis. Cochrane Database Syst Rev 2015; CD008351. [CrossRef] 11. Hill K, Patman S, Brooks D. Effect of airway clearance techniques in patients experiencing an acute exacerbation of chronic obstructive pulmonary disease: a systematic review. Chron Respir Dis 2010;7:9-17 [CrossRef] 12. Garuti G, Verucchi E, Fanelli I, et al. Management of bronchial secretions with FREE ASPIRE in children with cerebral palsy: impact on clinical outcomes and healthcare resources. Ital J Pediatrics 2016;42:7 [CrossRef] 13. Bertelli L, Di Nardo GD, Cazzato S, et al. Free-Aspire: a new device for the management of airway clearance in patients with ineffective cough. Pediatric Rep 2017;9:7270. [CrossRef] 14. Kim CS, Rodriguez CR, Eldridge MA, et al. Criteria for mucus transport in the airways by