RT Book, Section
A1 Hill, Nicholas S.
A2 Tobin, Martin J.
SR Print(0)
ID 57066482
T1 Chapter 17. Noninvasive Respiratory AIDS: Rocking Bed, Pneumobelt, and Glossopharyngeal Breathing
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57066482
RD 2024/04/18
AB The  rocking  bed  and  pneumobelt  are  noninvasive  ventilators  that  were  developed  and  saw  their  greatest  use  during  the  latter  years  of  the  polio  epidemics  but  are  used  rarely  today.  They  both  rely  on  the  effect  of  gravity  to  assist  diaphragmatic  motion  and  are  particularly  well  suited  to  patients  with  severe  diaphragmatic  weakness  or  paralysis.  Neither  one  should  be  used  in  the  management  of  acute  respiratory  failure,  and  both  have  limited  present-day  applicability.  Despite  the  similarities,  there  are  also  important  differences,  such  as  portability  and  suitability  for  nocturnal  versus  daytime  use.  This  chapter  reviews  the  historical  development,  mechanisms  of  action,  and  present-day  uses  of  the  rocking  bed  and  pneumobelt.  Glossopharyngeal  breathing,  another  noninvasive  approach  to  ventilator  assistance,  is  discussed  briefly  at  the  end  of  the  chapter.