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 most common symptoms were cough All patients received antibiotics and postural drainage, and 88 of them younger and with a higher functional reserve were also submitted to pulmonary resections 82 unilateral and 6 bilateral.
Surg Gynecol Obstet ; It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments.
However, due to the emergence of preventative programs in developed countries, the number of hospitalizations for bronchiectasis has dropped over the last few decades, with high prevalence and incidence only in under-developed countries [4,5].
NAC. rtousp () Limpeza brônquica na | Fátima Caromano –
Fink  added that in the clinical practice, percussion with postural drainage is effective in the transportation of pulmonary secretions improving the well-being of the patient. 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 the tissue that reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].
Langenderfer  added to these quoting Murphy et al The surgical treatment of multisegmental and localized bronchiectasis. OBJECTIVE To verify the efficacy of postural drainage with percussion on the bronchial hygiene of bronchiectasic patients in recent studies as well as the effect on associations with other techniques. Hum Pathol ; Moreover, bronchiectasis is frequently seen in patients with acquired immunodeficiency virus .
Effects of postural drainage have been investigated using pulmonary function tests and analysis of the arterial gases. Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort.
Bronchiectasis most frequently involves both the lower lobes; when the involvement is unilateral it affects the terminal bronchi and bronchia and is more frequently seen on the left and in the lingula and medial lobe.
Suppurative disease of the lung and pleura: To study diagnostic and therapeutic aspects in a series of hospitalized patients with bronchiectasis nq a department of pulmonary diseases.
Bronchiectasis: diagnostic and therapeutic features A study of patients
For this reason, in some countries, physiotherapists have utilized techniques that facilitate application and thus fosioterapia of the patient . The majority of cases have idiopathic causes and, to a lesser degree, a congenital cause, with deficiencies in the elements of the bronchial wall and the cilia .
For Pryor , the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease. Immediate and long-term results of bronchial artery embolization for life-threatening hemoptysis.
The varicose form, on the other hand, presents with greater dilation, local constrictions and an irregular format; the most severe form is represented by the saccate form, with rounded dilations and the absence of communication with the pulmonary parenchyma .
However, there fisioterapi few studies that show the association of these techniques, even though they are commonly used in clinical practice.
Clinical manifestations of the disease bronqujectasia chronic cough, fever and purulent voluminous expectoration with a fetid odor . The efficacy of percussion and postural drainage requires the assistance of a professional, which can make the daily use of therapy difficult .
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. The Brazilian Journal of Cardiovascular Surgery is indexed in: Pryor  stressed the efficiency of the maneuvers of forced expiration and Caromano et al.
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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 .
Reviews of publications and field studies emerged due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis . Bronchopneumonia with serious sequelae in children with evidence of adenovirus type 21 infection.
With the evolution of the disease, there is a reduction in the expiration volume and vital capacity, the pulmonary tissue becomes retracted with pleural adherences; the bronchiectasic segments present with purulent secretions; the mucous membrane become swollen and ulcerated and the tissue of the mucociliary lining becomes cubic [1,5].
Thoracic percussion also increases the intrathoracic pressure and hypoxemia, with the latter being unimportant when the technique is used for periods of less than 30 seconds and combined with three or four lung expansion exercises . Postural drainage and chest clapping are commonly used clearence however, there are few published comparative population studies or reviews of techniques. Eur Respir J ; Van der Schans et al.