Use of RespinPAD in Elderly Patients

Launched by CENTRE HOSPITALIER UNIVERSITAIRE DE NICE · Jul 23, 2018

Keywords

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Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patient over 70 years of age
• • member of the social security system
• • hospitalized at the gerontology centre of the CHU de Nice (Cimiez): short geriatric stay, follow-up care and rehabilitation, long-term care unit or EHPAD.
• • presenting a clinical bronchial obstruction (auscultatory signs with ronchi type) secondary to a secreting pathology (exacerbation of asthma or chronic obstructive bronchitis, acute bronchitis or acute infectious pneumonitis, repeated swallowing disorders, pulmonary disease of inhalation...) with or without radiological bronchial syndrome.
• • for which a respiratory physiotherapy is not effective after expertise of the physiotherapist
• Exclusion Criteria:
• • a patient who is not hemodynamically stable or who has impaired alertness (glasgow\<15) or shows signs of respiratory control (choracic-abdominal sway, costal or superclavicular draft, bronchospasm),
• • Patient or trustworthy person who did not complete and sign the consent to participate in the study,
• • a patient with chest pain, clinical intracranial hypertension (HIC) greater than 20 mmHg, uncontrolled high blood pressure, dyspnea of a different etiology than bronchial obstruction (a rapid and/or poorly tolerated ACFA, clinical or radiological pleural effusion, empyema, pneumothorax, decompensated heart failure, pericarditis, pericarditis
• • The patient cannot benefit from naso-tracheal aspiration,
• • End-stage palliative care patient
• • patient already participating in another study.