student profile: Mr Anwar Hassan


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Thesis work

Thesis title: Intrapulmonary percussive ventilation in critical care and acute care settings

Supervisors: Maree MILROSS , Stephen HUANG , Jennifer ALISON

Thesis abstract:

�p�Critically ill patients, both ventilated and non-ventilated, are at risk of developing pulmonary complications such as pulmonary atelectasis, pneumonia and respiratory failure. These pulmonary complications often require ventilatory support which may result in prolonged intensive care unit stay, increased mortality and associated increased health care utilisation. Physiotherapy aims to assist in preventing and treating pulmonary complications. In addition to conventional chest physiotherapy techniques, various adjuncts such as high frequency chest wall oscillation, positive pressure therapy, prescribed nebulised mucolytic medications and intrapulmonary percussive ventilation (IPV) are regularly employed by physiotherapists to aid secretion clearance, prevent and or reverse pulmonary atelectasis and improve gas exchange. IPV is a provided with a pneumatic device (such as Metaneb) used in a wide variety of clinical settings to treat: conditions such as acute exacerbation of chronic obstructive pulmonary disease, tracheostomised patients with excessive secretions, ventilated patients with atelectasis, patients with burns, neuromuscular diseases, bronchiectasis and cystic fibrosis. Despite the broad clinical use of IPV, the current body of evidence for its efficacy remains inconclusive. There is a paucity of evidence to support the use of IPV intervention in adult, non-ventilated patients in critical care. The aim of this research project is to; 1) Critically appraise and summarise the available literature evaluating IPV intervention in the critical care setting, 2) Evaluate the feasibility and safety of IPV intervention in critical care setting, 3) Investigate the effectiveness of IPV (by Metaneb device) in adult non-ventilated ICU patients with impaired respiratory function compared to standard chest physiotherapy.�/p�

Note: This profile is for a student at the University of Sydney. Views presented here are not necessarily those of the University.