Document Detail

Efficacy of chest physiotherapy and intermittent positive-pressure breathing in the resolution of pneumonia.
MedLine Citation:
PMID:  355879     Owner:  NLM     Status:  MEDLINE    
We undertook a randomized clinical trial to evaluate the efficacy of chest physiotherapy and intermittent positive-pressure breathing in the treatment of pneumonia. The diagnosis of pneumonia required a compatible clinical history and x-ray confirmation. A total of 54 patients were assigned to treatment and control groups and were similar in age, smoking history, underlying lung disease and prior antibiotic treatment. Antibiotic therapy, guided by Gram stain and sputum and blood cultures, was similar in both groups. Chest physiotherapy, consisting of postural drainage, percussion and vibration, was given concurrently with intermittent positive-pressure breathing with use of racemic epinephrine every four hours. There was no statistically significant difference in duration of fever, extent of radiographic clearing, duration of hospital stay and mortality between the control and treated groups. Chest physiotherapy and intermittent positive-pressure breathing do not hasten the resolution of pneumonia.
W G Graham; D A Bradley
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The New England journal of medicine     Volume:  299     ISSN:  0028-4793     ISO Abbreviation:  N. Engl. J. Med.     Publication Date:  1978 Sep 
Date Detail:
Created Date:  1978-10-25     Completed Date:  1978-10-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0255562     Medline TA:  N Engl J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  624-7     Citation Subset:  AIM; IM    
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Evaluation Studies as Topic
Intermittent Positive-Pressure Breathing*
Middle Aged
Physical Therapy Modalities*
Pneumonia / drug therapy,  microbiology,  therapy*
Positive-Pressure Respiration*
Prospective Studies
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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