Severe Atelectasis Following Total Hip Replacement surgery - A Case for Novel Combined Modalities

Course Information

Intra-operative positioning for hip fracture repair requires trunk bracing to avoid movement. In the context of a protuberant abdomen, underlying COPD, and post-operative pain medication, severe hypoxia developed despite a spinal anesthesia approach.

A novel physiotherapy intervention, including mechanical vibration simultaneously with vibratory PEP with an Acapella, achieved significant respiratory recovery; demonstrated with a case study. 

This session was presented at the Canadian Physiotherapy Association (CPA) Congress 2021.

Speaker

Judy graduated from Queen's University in Kingston, ON, and has been presenting respiratory assessment and management courses provincially since 1999, and nationally since 2009. As a member of the Cardiorespiratory Division (CRD) of the CPA, she has had ongoing involvement with national cardiorespiratory issues, including participation with the CPA Specialization pilot in 2010. In 2012, she achieved the Clinical Specialist designation for Cardiorespiratory; one of the first three PTs in Canada to successfully complete the program for this area. She has also continued her involvement with the program as one of the assessors. In December 2016, Judy was an invited participant to the national Cardiorespiratory Division's strategic planning day. In 2020, she was invited to present a national webinar as part of the CRD's COVID-19 education series, entitled Expand Your Respiratory Assessment - Blending Evidence and Experience With a Clinical Reasoning Focus.

Participation in the CPA's Congress has been a strong interest, having last given a podium presentation at the 2018 Congress in Montreal entitled Physiotherapy Management of MRSA Pneumonia Sepsis in the ICU - The Evolution of a Multi-Modal Intervention Program. There has been an established connection with the Dalhousie University Physiotherapy program as one of their Adjunct Clinical Associates. This included a one-week invitation to assist in teaching the first-year Cardiorespiratory program in September 2018, with a focus to facilitate increased critical thinking and clinical reasoning skills in respiratory assessment and management. In 2016, she graduated from the Memorial University of Newfoundland's Master of Employment Relations program, with the award for Academic Excellence. The fusion of best practice in physiotherapy and in managing employee issues has facilitated projects, such as clinical audits and regional collaboration on projects for enhancing clinical reasoning and more prescriptive interventions.

Access to this recording will be FREE for anyone who has registered for CPA Congress 2021, Day 3.

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