Essential Respiratory Anatomy & Physiology
Normal Airway clearance physiology; reasons for sputum retention and the impact of pathology on
sputum movement. Principles of airway clearance
The AD Technique- breathing pattern and lung volumes DVD demonstration- patient skilled in
performing AD breathing. How AD works.
Airway clearance techniques overview; How techniques work -physiological basis, and tailoring to the
Musculoskeletal physio post thoracotomy/sternotomy/ chestwall reconstruction Incentive spirometry –
types, when/ should we use?
Physiotherapy role and enhanced recovery in post-operative respiratory care, including case study
evidence. Differences in approach for VATs lobectomy vs open thoracotomy.
Routine postop physio? Who is higher risk?
Adjuncts/ Innovation in Postop physiotherapy- Incentive spirometry, Use of PEP post lobectomy,
AD- DVD demo
Evaluation of patient problems –clinical reasoning strategy with physiological basis
Tutor: Dr. Paula Agostini PhD MSc MCSP
Dr Paula Agostini PhD MSc MCSP, is a Clinical Specialist Physiotherapist at Heart of England NHS Foundation Trust, working with patients undergoing thoracic surgery, both with acute and chronic pulmonary pathology. With 23 years clinical experience, most in respiratory care, she has many years of teaching experience also- under and post graduate, work based, university based, and on specific 1 and 2 day courses. She has published 12 papers to date, focussing on physiotherapy following thoracic surgery, and prevention of postoperative pulmonary complications. Much of her research has been presented both nationally and internationally. Paula has worked over many years with Jean Chevaillier, the developer of the AD technique, to define and explain the technique and the physiological basis for publication in order that therapists might have a better understanding of the principles. She has also explored the evidence base in a review paper. She has taught therapists the ‘art’ of AD since 2000, with the approval of Jean to do so. More recently in the courses, and for the first time in written form, advanced elements of the technique are passed on to therapists, directly as Jean has explained.
If you have a question about our event, Dublin Dr Paula Agostini: Respiratory Physio day for the experienced clinician: , please use the form below. We generally answer all questions within one business day.