Lung volume recruitmentLLung volume recruitmentLung volume recruitmentEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT;Amy Glicksman, MD000Flat ContentHealth A-Z

 

 

Lung volume recruitment2966.00000000000Lung volume recruitmentLung volume recruitmentLEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT;Amy Glicksman, MD000Flat ContentHealth A-Z<p>​​Children who have a weak cough due to muscle weakness or a curve in their spine may benefit from lung volume recruitment (LVR).</p><p>LVR uses a special bag to help increase the amount of air that your child can breathe into their lungs with a voluntary breath. The LVR bag is squeezed during inhalation (breathing in) for a series of a few breaths to increase the total amount of air in the lungs. After the lungs are filled with air, your child breathes out.</p><p>Filling the lungs with more air allows your child to clear secretions more effectively. After several cycles of LVR, your child will find that breathing becomes easier and their voice becomes stronger.</p><h2>What equipment do I need to do LVR for my child?</h2><ul><li>​Resuscitation bag</li><li>One-way valve</li><li>Extension (flex) tube</li><li>Tracheostomy adaptor</li><li>Nose clip</li></ul><p>You can buy this equipment from your medical vendor.</p> <figure class="asset-c-100"> <span class="asset-image-title">Lung volume recruitment kit</span> <img src="https://assets.aboutkidshealth.ca/akhassets/trach_lvr_bag_EN.jpg" alt="A self-inflating bag, tubing, a mouthpiece, tracheostomy adaptor and nose plug" /> <figcaption class="asset-image-caption">The kit includes a self-inflating bag, tubing, a mouthpiece, a tracheostomy adaptor and a nose plug.</figcaption> </figure> <p></p><div class="caution"><h3>​​​​Pr​ecautions</h3><ul><li>​The LVR bag cannot be used for resuscitation.</li><li>Although an LVR bag looks similar to a <a href="/Article?contentid=2944&language=English">manual resuscitation</a> bag, there are important differences. The LVR bag has a one-way valve.​</li><li>Clearly label both your LVR bag and your manual resuscitation bag to make sure you do not use the wrong one.</li></ul></div><h2>How do I do LVR for my child?</h2><ol><li>Have your child sit comfortably. They can lean back a bit, but they should not be slouching.</li><li>Put nose clips on your child (as tolerated).</li><li>Attach the LVR bag to the tracheostomy using the tracheostomy adaptor.</li><li>Look at your child’s chest and slowly squeeze the bag as they breathe in.</li><li>Encourage your child to breathe in the air as you squeeze the bag.</li><li>Ask your child to try to keep breathing in more air as you squeeze the bag a second time.</li><li>Your child should fill their lungs as full as possible and feel a stretch across the front of their chest.</li><li>Have your child hold in the air for as long as possible before breathing out. Encourage them to cough as they breathe out. Each child will tolerate a different number of stacked breaths before they breathe out and cough.</li><li>Steps 4-8 are one cycle. Each time you do a session of LVR, complete three to five cycles. </li></ol><p>LVR can also be used along with a <a href="/Article?contentid=2968&language=English">manual assisted cough</a>​. However, regular LVR will benefit your child even if it is not used with the manual assisted cough technique.</p><h2>How often should I do LVR for my child?</h2><ul><li>It is recommended to do LVR twice a day and do further sessions only as needed.</li><li>You will need to do LVR more frequently when your child is unwell.</li></ul><div class="caution"><h3>P​recaution</h3><ul><li>If your child experiences dizziness, chest discomfort or pain, stop the LVR and have them rest.​​<br></li></ul><div><p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a><br></div></div>Lung volume recruitmentTruehttps://www.aboutkidshealth.ca/Article?contentid=2967&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2965&language=English

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