RT Book, Section A1 Mejia-Downs, Anne A1 Bishop, Kathy Lee A2 DeTurk, William E. A2 Cahalin, Lawrence P. SR Print(0) ID 6881747 T1 Chapter 17. Physical Therapy Associated with Airway Clearance Dysfunction T2 Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach, 2e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-159814-9 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=6881747 RD 2024/04/23 AB This chapter will address Practice Pattern 6C of the Guide to Physical Therapist Practice: Impaired Ventilation, Respiration/Gas Exchange and Aerobic Capacity/Endurance Associated with Airway Clearance Dysfunction. As you may recall from the oxygen transport pathway (see Chapter 5, Physiology of the Cardiovascular and Pulmonary Systems), the ability to exchange oxygen and carbon dioxide is dependent on an unobstructed path from the upper airways to the lungs. Normally, pulmonary secretions are easily removed from the airways by the mucociliary escalator, clearing the way for gas exchange to occur. When a dysfunction exists in the airway clearance mechanism, the inability to remove pulmonary secretions may result in decreased oxygen carried to the circulatory system, resulting in impaired muscle performance and aerobic endurance.