AARC Clinical Practice Guideline: intermittent positive pressure breathing (2003). Respir Care, 48, 5, 540–46
www.rcjournal.com/cpgs/05.03.0540.html


Ali J et al (1984) Effect of postoperative intermittent positive pressure breathing on lung function. Chest, 85, 192-6
www.chestjournal.org/cgi/content/abstract/85/2/192?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&author1=Ali%2C+J+&searchid=1122360849181_212&stored_search=&FIRSTINDEX=0&sortspec=relevance&journalcode=chest
• routine IPPB is ineffective [selective IPPB was not assessed]

Ayres SM et al (1962) The effects of intermittent positive pressure breathing on intrathoracic pressure, pulmonary mechanics and the work of breathing. Am Rev Respir Dis, 87, 370-9

NEW
Banks A, Shannon H, Main E (2010) Use of electrical impedance tomography to monitor changes in lung air content during intermittent positive pressure breathing. ACPRC Journal, 42, 4-9
• IPPB directs ventilation evenly throughout the lungs of people with normal lungs (in sitting) but tends to be directed to the unaffected parts of lungs in people with lung pathology (positions not specified).

Bott J, Keilty SEJ, Noone L (1992) Intermittent positive pressure breathing - a dying art? Physiotherapy, 78, 656-60

Denehy L, Berney S (2001) The use of positive pressure devices by physiotherapists. Eur Respir J, 17, 821-9.
erj.ersjournals.com/cgi/content/full/17/4/821?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&andorexactfulltext=and&searchid=1135616719995_820&FIRSTINDEX=0&sortspec=relevance&volume=17&firstpage=821&resourcetype=1&journalcode=erj
• excellent overview of CPAP, IPPB and NIV

Emmanual GE et al (1966) The effect of intermittent positive pressure breathing and voluntary hyperventilation upon the distribution of ventilation and pulmonary blood flow to the lung in COLD. J Clin Investigation, 45, 1221-33
www.pubmedcentral.nih.gov/articlerender.fcgi?artid=292794

O'Donohue WJ (1979) Maximum volume IPPB for the management of pulmonary atelectasis. Chest, 76, 683-7
www.chestjournal.org/cgi/reprint/76/6/683?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&volume=76&firstpage=683&resourcetype=HWCIT

Sinha R et al (1972) Prolonged alteration of lung mechanics in kyphoscoliosis by positive pressure hyperinflation. Am Rev Respir Dis, 106, 47-57
• IPPB improves lung volume in patients with kyposcoliosis

Spring C (1999) The fibre-optic bronchoscope in the ICU. Br J Int Care, 9, 14-22
• positive pressure of 20 cmH2O is necessary to re-expand lung

Starke ID et al (1979) IPPB and hypercapnia in respiratory failure: the effect of different concentrations of inspired oxygen on arterial blood gas tensions. Anaesthesia, 34, 283-7

Stiller K et al (1992) The effect of intermittent positive pressure breathing on lung volumes in acute quadraparesis. Paraplegia, 30, 121-6
• IPPB improves lung volume in patients with paraplegia

Sukumalchantra Y et al (1965) The effect of intermittent positive pressure breathing in acute ventilatory failure. Am Rev Respir Dis, 92, 885-93

Torres G et al (1960) The effects of intermittent positive pressure breathing on the intrapulmonary distribution of inspired air. Am J Med, 29, 6, 946-54
www.sciencedirect.com/science?_ob=ArticleListURL&_method=list&_ArticleListID=1555227045&_sort=r&_st=13&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=d65735863a12d6b90113d43f1e063867&searchtype=a
• IPPB improves tidal volume and the evenness of ventilation, but no more than voluntary deep breathing, so is most beneficial for those unable to deep breathe normally

Webber BA (1981) Use and abuse of inhalation equipment Physiother, 67, 130-3

Welch MA (1980) Methods of intermittent positive pressure breathing. Chest, 78, 463-6
www.chestjournal.org/cgi/content/abstract/78/3/463?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&searchid=1122363707346_508&stored_search=&FIRSTINDEX=0&sortspec=relevance&volume=78&firstpage=463&journalcode=chest
• variation of volumes according to method of application





AARC = American Association for Respiratory Care.
CPAP = continuous positive airways pressure
IPPB = intermittent positive pressure breathing
NIV = non-invasive ventilation


(updated 24/11/10)