Appraisal: Clinical Practice Guidelines. Bronchiectasis: Bronchiectasis

Brauer, Sandra (2011) Appraisal: Clinical Practice Guidelines. Bronchiectasis: Bronchiectasis. Journal of Physiotherapy, 57 3: 198-198. doi:10.1016/S1836-9553(11)70047-9

Author Brauer, Sandra
Title Appraisal: Clinical Practice Guidelines. Bronchiectasis: Bronchiectasis
Journal name Journal of Physiotherapy   Check publisher's open access policy
ISSN 0004-9514
Publication date 2011
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/S1836-9553(11)70047-9
Volume 57
Issue 3
Start page 198
End page 198
Total pages 1
Place of publication Camberwell, Melbourne, Australia
Publisher Australian Physiotherapy Association
Collection year 2012
Language eng
Formatted abstract
This 64 page document presents evidencebased clinical practice guidelines on the background, potential causes, clinical assessments, investigations, and management of adults and children with non-CF bronchiectasis. It begins with a 6-page summary of all recommendations. The guidelines then provide information on the potential underlying causes of bronchiectasis, and its associations with other pathologies. The clinical presentation in both adults and children is detailed, and evidence for diagnostic investigations is provided,such as immunological tests, radiological investigations, sputum microbiology, and lung function tests. General principles of management are indicated, followed by evidence for physiotherapy in this condition. This includes interventions such as airway clearance techniques, active cycle of breathing techniques, manual techniques, positive expiratory pressure, autogenic drainage, high frequency chest wall oscillation, and exercise. The evidence for the use of airway pharmacotherapy such as mucolytics, hyperosmolar agents, bronchodilators, inhaled corticosteroids and leukotriene receptor antagonists are detailed, followed by evidence for management using antibiotics. Recommendations are given for assessments needed in patients with acute exacerbations in the outpatient and inpatient sector, with criteria provided to determine when inpatient treatment of an acute exacerbation is required. Finally, evidence for surgery, complications and management of the advanced disease is provided. All 549 cited references are provided.
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Health and Rehabilitation Sciences Publications
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