Respiratory physiotherapy to prevent infections

J. J. Spijkstra, J. I. van der Spoel

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Respiratory infections in ventilated patients are serious complications which lead to an increase in ventilator days, a longer length of stay on the ICU and an increase in mortality,[1] and therefore we should welcome each initiative to diminish these complications. Spapen et al. suggest in this issue that a special form of respiratory therapy, the combination of intrapulmonary percussive ventilation (IPV) with assisted autogenic drainage physiotherapy (AADP) tends to decrease the occurrence of ventilator-associated Gram-negative infections.(2) However, this study is small and underpowered and the study population is unbalanced, which makes it difficult to assess the value of this pilot. A much larger study would be required to be able to draw any definite conclusions. In addition, there are several other problems with this pilot study, a number of which are neatly addressed by the authors.

Original languageEnglish
Pages (from-to)4-5
Number of pages2
JournalNetherlands Journal of Critical Care
Issue number2
Publication statusPublished - 1 Mar 2016


  • IVAC
  • VAE
  • VAP

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