Effect of Manual Hyperinflation & Expiratory Ribcage Compression on Oxygenation, Ventilation, Physiological Parameters and Airway Clearance in Mechanically Ventilated Patients-A Randomized Control Trial
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
Background: In ICU physiotherapist plays an important role for treating the functional impairment especially patients who are on mechanical ventilation where you can prevent and reduce potential pulmonary complications such as hypoventilation, hypoxemia and infection. Manual hyperinflation also known as bag squeezing is given mechanically ventilated patients. Expiratory rib-cage compression is well known as “squeezing.” This technique mobilizes and helps to remove secretions, facilitates active inspiration hence, improves alveolar ventilation. Objective: To study combined effect of manual hyperinflation and expiratory ribcage compression on oxygenation, ventilation, physiological parameters and airway clearance. Methods: 30 mechanically ventilated subjects of >18 years old were included in this study. Subject’s demographic data was obtained and patients were randomly allocated into two groups. Experimental group received Manual Hyperinflation, Expiratory rib cage compression with conventional physiotherapy and Control group received only Conventional Physiotherapy. Treatment was given twice a day for five days a week. Outcome measures were taken before and after treatment. Results: Both groups were similar in terms of baseline characteristic but significant difference was found in PaO2 when compared between the two groups where as no significant difference in PaCO2, Ventilation, Physiological parameters and Sputum volume when compared within the groups. Conclusion: Present study suggested that experimental group showed better result as compared to control group when compared within group. Hence these techniques can be used as an integral part of chest physiotherapy in promoting patients recovery thus improving quality of life which can be used as a routine practice in ICU care.
Authors and Affiliations
Anantlaxmi Goud,
Keywords
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