Clinical application of intrapulmonary percussive ventilation: A scoping review.
Anwar Hassan, Sidney Takacs, Sam Orde and 3 others
PMID 38577395WHAT IT FOUND
Across 25 studies of 905 patients, IPV was used widely but with inconsistent settings.
Most common doses were 200-300 cycles per minute, 10-20 cm H2O in ICU, and 10-20 minute sessions, one or two times daily.
Key findings
01The review included 25 studies with 905 patients across critical care, acute inpatient and outpatient settings.
02The most commonly reported IPV settings were 200-300 cycles per minute, 10-20 cm H2O in ICU, 10-20 minute sessions, 15-20 minute sessions in other settings, and one or two sessions per day.
03IPV frequency, pressure, duration and session number varied across studies, and the included studies did not provide enough consistent evidence to form a guideline.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The included studies used different patient groups, settings, devices, interfaces and outcome measures, so the review could not combine them into a guideline. Important treatment details such as patient position, applied pressure and I:E ratio were often missing. Only a small number of studies reported adverse events, so safety information is limited. Short-term outcomes such as oxygenation were not linked to longer-term patient outcomes. The search may have missed some studies.
Declared interests
The authors declared no conflicts of interest and the research received no funding.
The easy way to misread this
Do not read these common settings as proven effective doses. The review reports what was used, not whether IPV improved patient outcomes.