Chapter 1. Environemental contexts requesting CPT
- Epidemiology
- Physiopathology
- Obstruction and hyperinflation are the consequences and the common features of infantile respiratory diseases
Chapter 2. Obstruction and hyperinflation
- Obstruction and hyperinflation mechanisms
- Instrumental evaluation of obstruction and hyperinflation
- Clinical appraisal of obstruction and hyperinflation
- Clinical examination and safety measures are the garantuee of a targetted and efficient CPT
Chapter 3. Auscultation
- Introduction
- Acoustic physics elements: vibratorions and acoustic parameters
- Methodology of acoustical analysis
- Psychoacoustics applied to auscultation
- Systematic of auscultation in pediatrics, sounds heard at the mouth, percussion
- Practice of auscultation
- Annotation mode of respiratory sounds
- Some demonstrative examples
Chapter 4. Decision tree and nCPT assessments
- Analytical decision tree in nCPT
- Physiotherapic definition of the bronchial obstruction
- Specific nCPT decision tree
- nCPT to fail defense mechanisms of the bronchial tree
Chapter 5. General principles of CPT
- Goals of nCPT in pediatrics
- Controverses about conventionnal cCPT
- Mechanical bases : nCPT uses the entry signal of the respiratory system
- 2 years and 8-12 years: two important transition periods
Chapter 6. Main techniques of nCPT in pediatrics
- Slow expiratory techniques to clear the small airways:ELPr, PTE, AD, ELTGOL,
- Forced expiratory techniques to clear the proximal airways: TEF,TD, TP
- Slow inpiratory techniques to clear the peripheral lung: IS, EDIC
- Forced inspiratory techniques to clear extrathoracic airways: DN, DRR, TE, GPR.
- Summary: classification of the techniques
Chapter 7. Complementary techniques of bronchiall clearance
- Postural Drainage: PD
- IPPB, PLB, VD, PEP-mask®, TheraPEP®, Flutter-VRP1®,…
- Vibrations, cries, and physical exercises
Chapter 8. nCPT in neonatalogy
- Neonatal medicine : outstanding progress of reanimation and therapeutic properties of the pulmonary surfactant
- nCPT in neonatology : specific application of the general principles
- nCPT methodology in neonatology
- Association of vibrations, positive pressure, cough and succioning
Chapter 9. Control and follow-up parameters
- Anamnestic and clinical guidelines of nCPT
- Indications and contra-indications of nCPT
NOTES
The book contains numerous notes of physiology, physiopathology, semiology and technique:
Pathology notes
- Asthma in infancy
- Bronchiolitis
- Kartagener's syndrom
- Gastro-esophageal reflux
- Bronchial secretion in cystic fibrosis
- Atelectasis
- Pneumopathy
- Ventilatoire asynchronism
- Middle lobe syndrome
- Bronchiectasis
- Acute Respiratory Distres Syndrome of the newborn
- Hyaline Membrane Disease
- Bronchopulmonary Dysplasia
- Sudden infant death syndrome
- Otitis media
- Nasal obstruction in infancy
- Whooping cough
- Chronic obstructive lung disease in infancy
Physiology notes
- Mucociliary transport
- Collateral ventilation
- Mechanics in lateral decubitusl, linked to pulmonary development
- Mechanism of cough
- Origin of the ventilation/perfusion mismatch
- The naso-pharynx
- The larynx
- Pulmonary surfactant
- Gas exchanges of the newborn
- Blood Oxygen transport
- Alveolar volume
Semiology notes
- Pediatric stridor
- Rhinorrhea
- Pain in pediatrics
Technical notes
- Inhaled therapy
- Pulmonary transplantation
- CPT and antibiotics