IPPB exam

• What about the practical exam - when to use IPPB:

  • a breathless and productive patient e.g. cystic fibrosis (who is too fatigued to clear with ACBT alone)
  • a breathless patient to reduce work of breath e.g. COPD
  • a patient with lobar atelectasis (to clear sputum plugging and recruit lung) e.g. post surgery
• What about the practical exam:

  • You will need to be able to discuss the physiological effects of IPPB and CPAP if you bring them up in your clinical scenario
  • You will need to be able to discuss the settings of IPPB
  • You will need to justify their use with an understanding of the clinical indications for both techniques
  • Don’t forget to consider any possible precautions/contraindications e.g. haemoptysis or low BP