Strong For Recommendation
Intermittent application of positive pressure therapy techniques should be used (in consultation with medical staff) for improving lung volume in ventilated people with acute SCI that are medically stable.
| Intermittent application of positive pressure (v no intervention) on lung volume in ventilated people with SCI who have respiratory muscle weakness | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI who are ventilated and have respiratory muscle weakness | Evidence recommendation No evidence recommendation Reason: No RCTs | Strong opinion statement FOR Intermittent application of positive pressure therapy techniques should be used (in consultation with medical staff) for improving lung volume in ventilated people with acute SCI that are medically stable. Clinical note: Positive pressure therapy techniques include ventilator hyper-inflation, mechanical insufflation and manual-hyperinflation. Ventilator hyperinflation is preferred if available. Positive pressure techniques are contraindicated in conditions that include but are not limited to untreated pneumothorax, tracheoesophageal fistula, increased intracranial pressure and facial trauma. |
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| I | Intermittent application of positive pressure therapy techniques | ||||||
| C | No intervention | Consensus-based opinion statement Strong for (100%) |
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| O | Lung volume (Litres) | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends intermittent application of positive pressure therapy techniques should be used (in consultation with medical staff) for improving lung volume in ventilated people with acute SCI that are medically stable.
This is a consensus-based opinion statement supported by the opinions of the experts. There are no randomized controlled trials on this topic.
The guideline states:
Intermittent application of positive pressure therapy techniques should be used (in consultation with medical staff) for improving lung volume in ventilated people with acute SCI that are medically stable.
This statement was formed by considering the opinions of the experts alongside other factors. The other factors that were considered were benefits and harms, values and preferences, resource use, equity, accessibility, and feasibility.
This is a consensus-based opinion statement. Consensus-based opinion statements are less robust than evidence-based recommendations. They can be strong or weak. This is a strong consensus-based opinion statement which means that the guideline panel is confident they can recommend Intermittent application of positive pressure therapy techniques for improving lung volume based on opinion.
To learn more about the research related to this intervention go to the clinicians tab on this website