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J Pediatr Intensive Care 2015; 04(04): 174-181
DOI: 10.1055/s-0035-1563385
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Chest Physiotherapy in the Pediatric Intensive Care Unit

Brenda M. Morrow
1   Department of Pediatrics and Child Health, University of Cape Town, Rondebosch, Cape Town, South Africa
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Publication History

03 October 2014

31 October 2014

Publication Date:
12 August 2015 (online)

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Abstract

Despite widespread practice, there is very little, high-level evidence supporting the indications for and effectiveness of cardiopulmonary/chest physiotherapy (CPT) in critically ill infants and children. Conversely, most studies highlight the detrimental effects or lack of effect of different manual modalities. Conventional CPT should not be a routine intervention in the pediatric intensive care unit, but can be considered when obstructive secretions are present which impact on lung mechanics and/or gaseous exchange and/or where there is the potential for long-term complications. Techniques such as positioning, early mobilization, and rehabilitation have been shown to be beneficial in adult intensive care patients; however, little attention has been paid to this important area of practice in pediatric intensive care units. This article presents a narrative review of chest physiotherapy in pediatric critical illness, including effects, indications, precautions, and specific treatment modalities and techniques.

Keywords

chest physiotherapy - intensive care - rehabilitation - pediatric - physiotherapy
 

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