Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.
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The patient should remain for three to fifteen minutes in each position, giving a minimum amount of time of one hour at a frequency of three to four times per day.
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A continuing challenge in developing countries. Alternatives to percussion and postural drainage: Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort.
This requires the assistance of a professional, which can make the necessary daily treatment difficult. Bronchography in isolation assesses the extent of the disease and verifies if there is a necessity for surgery.
The current management of patients with bronchiectasis: The physiopathology consists of colonization of microorganisms and in the interaction of several enzymes and chemical mediators that cause inflammatory reactions and destruction of the bronchial tree; there is infiltration of neutrophils in bronqkiectasia tissue that reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].
There is evidence of their efficacy bronquiectasa to the increased velocity of mucous transportation, the gas exchange and improvement in the pulmonary function. Physiotherapy for bronquiecrasia clearance in adults. In the majority of the patients, lung resection surgery improved permanently the prolonged bronchopulmonary symptoms of patients with bronchiectasis, differently from the patients who received only clinical treatment.
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Bronchopulmonary hygiene physical therapy in bronquiectasis and chronic obstructive disease: Services on Demand Journal. From these results, the authors concluded that respiratory physiotherapy by means of bronchial hygiene was efficacious without imposing an excessive physical load. Other procedures are also utilized such as the Flutter device, autogenic drainage, the positive expiratory pressure technique, forced expiration techniques and intrapulmonary percussive ventilation.
Clinical manifestations are chronic cough, fever and voluminous expectoration, with a fetid odor. The etiology is unspecific and is considered the final stage of diverse pathological processes. After establishing the existence of the disease and discarding the hypothesis of surgery, conservative treatment is initiated  which includes bronchodilator drugs, mucolytic agents, corticoids and antibiotics, as well as hyper-dehydration and bronchoaspiration . Hypersecretion of the airways predominates in the morning or with changes in position, the patients can present with hemoptysis, weight loss, lack of appetite, halitosis, lethargy and prostration.
NAC. rtousp () Limpeza brônquica na | Fátima Caromano –
N Eng J Med ; The surgical treatment of multisegmental and localized bronquiectasiq. The contraindications, according to the American Association of Respiratory Careas reported by Fink  include pulmonary tuberculosis, tumoral resection from the thorax or neck, pulmonary contusion and coagulopathies.
Management of pulmonary disease in patients with cystic fibrosis.
A review of cases. Pulmonary function tests in fifty patients with bronchiectasis. Gomes Neto et al.
Bronchiectasis: diagnostic and therapeutic features A study of patients
POSTURAL DRAINAGE Postural drainage consists in using gravitational forces from the positioning of the patient so as to increase the transportation of mucous from lobes and specific sections of the lungs in the direction of the central airways, where the secretions should be removed more rapidly through coughing and aspiration [12,15].
The authors concluded that such techniques are equally efficacious in the removal of secretions from patients with bronchiectasis.
Ann Thorac Surg ; It predominantly affects women of nna 28 and 48 years old and more frequently affects the inferior lobes. This procedure promotes the mobilization of the secretions by means of vibrations  and is performed with the patient in varying drainage positions .
J Pneumol ; Am J Pathol ;