The effect of intrapulmonary percussive ventilation in pediatric patients: A systematic review

Pediatric Pulmonology
Eline LauwersStijn Verhulst

Abstract

Intrapulmonary percussive ventilation (IPV) is frequently used in clinical practice to enhance sputum evacuation and lung recruitment. However, the evidence in different respiratory pathologies, especially in children, is still lacking. This systematic review aims to enlist the effectiveness of IPV as an airway clearance technique in pediatric patients. A systematic literature search was performed in PubMed, Web of Science, and the Cochrane Library databases. Studies were included if the subjects suffered from a respiratory disease requiring airway clearance and the mean age of the sample was <18 years. After screening, nine articles remained for further analysis. Three of the nine articles examined patients with cystic fibrosis (CF). No significant differences in lung function or expectorated mucus were found compared to conventional chest physiotherapy. On the other hand, significant beneficial results were found for the treatment or prevention of atelectasis in non-CF patients using IPV. Similar results were seen when comparing therapies for neuromuscular/neurological patients. One study found that IPV reduced hospital stay and improved the clinical status of children with acute bronchiolitis compared to no physiotherapy. Se...Continue Reading

Associated Clinical Trials

Apr 24, 2020·Philippe Jouvet

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Citations

Jan 29, 2021·Pediatrics International : Official Journal of the Japan Pediatric Society·Masaya YamotoNaoto Urushihara

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