Contraindications for manual hyperinflation

TOTAL CONTRAINDICATIONS • Undrained pneumothorax • Severe bronchospasm • Head injury with Intra-Cranial Pressure 25 mmHg • Severe hypotension • Subcutaneous emphysema RELATIVE CONTRAINDICATIONS • Tumour/obstruction (risk of gas trapping/trauma) • Emphysematous bullae (risk of pneumothorax). 7 rows · manual ventilation. Manual ventilation is purely to maintain adequateventilationwhilst File Size: KB. Download Table | Contraindications to VHI or MHI Conditions Acute pulmonary oedemas from publication: Ventilator versus Manual Hyperinflation in Clearing Sputum in .

Objective: To describe procedures, indications and contraindications for bag squeezing and manual hyperinflation maneuvers and to propose an algorithm to optimize use of these techniques. Methods: A narrative literature review based on searches in the SciELO, ScienceDirect, PubMed and PEDro databases as well as the SECAD online continuing. Introduction. Manual hyperinflation (MH), also known as "bagging" or "bag-squeezing" is a frequently used maneuver in critically ill intubated and mechanically ventilated patients [1,2].With MH, patients are disconnected from the mechanical ventilator, after which their lungs are temporarily ventilated with a manual ventilation bag. • Reduced hyperinflation and improved inspiratory fraction and capacity (IC, IF) [11,12] • Increased peak inspiratory and expiratory flow (PIF, PEF) [5,13] • Improved oxygen saturation [14] • Improved cardiac autonomy and sympathetic nerve activity [11,17] • Reduced systolic and diastolic blood pressure [19] ADDITIONAL BENEFITS.

Patients receiving invasive mechanical ventilation who are unable to breathe spontaneously or produce an effective cough may retain pulmonary secretions leading to bronchial obstruction and atelectasis with the attendant adverse effects. 1,2 To enhance airway clearance, a maneuver known as manual hyperinflation, which involves lung ventilation with a manual resuscitator, was first described more than 50 years ago. 3 By simulating a normal cough, this maneuver is intended to mobilize. Contraindications There are no absolute contraindications in the literature, however it is strongly recommended that the procedure is not used in the following conditions unless there is explicit agreement from the medical team: Undrained pneumothorax - Severe bronchospasm - Cardiovascular instability. As such, manual hyperinflation may benefit intubated and mechanically ventilated critically ill patients. Side effects of manual hyperinflation seem relatively infrequent; however, most studies did not seem to be designed to detect potential adverse effects like derecruitment. Better evidence to support use of manual hyperinflation is required.