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14 - Biofeedback

from 1 - Ventilation

Published online by Cambridge University Press:  05 August 2011

By
A. E. Meuret
Edited by
J. S. Gravenstein ,
Michael B. Jaffe ,
Nikolaus Gravenstein  and
David A. Paulus
J. S. Gravenstein
Affiliation:
University of Florida
Michael B. Jaffe
Affiliation:
Philip Healthcare
Nikolaus Gravenstein
Affiliation:
University of Florida
David A. Paulus
Affiliation:
University of Florida
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Summary

This chapter describes several conditions that have been associated with hypocapnia and in which capnography biofeedback may present a viable biobehavioral treatment option. Given the assumed central role of hypocapnia in panic development and maintenance, capnometry-assisted respiratory training (CART) was developed as a novel, non-pharmacological treatment to counteract the respiratory abnormalities observed in panic disorder (PD). To overcome the deficiencies of earlier hypoventilation training studies in asthma, CART has successfully been adapted to asthma patients. Panic and asthma patients in the studies described here showed clear clinical benefits from using a portable capnometer as a behavioral therapy tool. Portable capnometry devices facilitate the patient's home training efficiency, self-modification efforts, and treatment compliance by immediate, objective feedback of respiratory parameters. Ambulatory capnometry devices with electronic data storage allow the therapist to track a patient's progress without having to rely exclusively on retrospective self-reporting.

Keywords

airway intubationairway managementcapnographyradiographic evaluationsintensive care unitendotracheal tubehospital setting
Type
Chapter
Information
Capnography , pp. 127 - 134
Publisher: Cambridge University Press
Print publication year: 2011

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