Bronchiectasis

Posted by e-Medical PPT Monday, October 15, 2012
Chronic dilation of the bronchi marked by fetid breath and paroxysmal coughing, with the expectoration of mucopurulent matter.”

Morphological types
Cylindrical or tubular bronchiectasis
Varicose
saccular or cystic bronchiectasis

Overview
Causes and pathogenesis
Microbiology /common pathogens
Therapeutic Goals

CAUSES
Worldwide, infection is the primary cause
M. Tuberculosis
Childhood illnesses
Rubeola, B. Pertussis

When to suspect bronchiectasis?
Chronic cough, sputum
Coarse rales
Persistent respiratory symptoms
Recurrent pneumonia
Progressive obstructive lung disease
Funny bugs

Bronchiectasis Therapy
Bronchopulmonary Hygiene
removal of respiratory secretions is beneficial
chest percussion and postural drainage
chest clapping or cupping
inflatable vests or mechanical vibrators
Oral devices that apply positive end-expiratory pressure maintain the patency of the airway during exhalation
Maintaining adequate systemic hydration, enhanced by nebulization with saline,
Acetylcysteine delivered by nebulizer thins secretions
aerosolized recombinant human DNase (rhDNase) in patients with cystic fibrosis

Surgery
Localised bronchiectasis
Proximal obstructive lesion
Massive hemoptysis
Recurrent infections
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