Effect of Chest Physical Therapy Modalities on Oxygen Saturation and Partial Pressure of Arterial Oxygen in Mechanically Ventilated Patients

Meawad, Maged A.; Aziz, Akram Abd El; Obaya, Hany Ezzat; Mohamed, Sabah A.; Mounir, Khaled Mohamed

doi:10.21608/ejhm.2018.10278

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…In relation to rapid shallow breath index. Meawad et al (2018) also supported our findings that oxygenation indices e.g., PaO2 had improved throughout three observation days which supported role of chest physiotherapy in increasing PaO2.…”

Section: Resultssupporting

confidence: 90%

Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes

Elbana,

Elbiaa,

Kishk

et al. 2023

Menoufia Nursing Journal

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Background: Myasthenia gravis is a rare disease that affects the respiratory muscles with mechanical ventilator support. Multimodalities of respiratory therapies may reduce or prevent such those complications, thereby improving gas exchange and airway clearance. Purpose: To explore the effect of multimodality chest physiotherapy on myasthenia gravis patients' clinical outcomes. Design: A quasi-experimental research design was utilized. Sampling: A purposive sample of 80 adult patients were selected.

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Section: Resultssupporting

confidence: 90%

Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes

Elbana,

Elbiaa,

Kishk

et al. 2023

Menoufia Nursing Journal

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“… 38 The current study showed slight but significant differences between the control and study groups in ABG parameters, including pH, PaO 2 , PaCO 2 , HCO 3 and SaO 2 . This was consistent with previous studies, 19 , 20 which also reported improvements in oxygen saturation after chest physiotherapy. A previous study also found a significant increase in PaO 2 /FiO 2 in the CPT group compared with the control group.…”

Section: Discussionsupporting

confidence: 93%

“…4 Similarly, previous studies reported a positive association between chest physiotherapy and improved oxygenation, reduced hospitalization duration and decreased mortality in critically ill patients. [17][18][19][20] Therefore, investigating the effect of immediate chest physiotherapy on pulmonary function among extubated patients in critical care units is crucial in improving patient outcomes. Nurses play a critical role in managing pulmonary function and should be involved in the implementation and monitoring of chest physiotherapy as a respiratory therapy intervention.…”

Section: Introductionmentioning

confidence: 99%

Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU

Reshia,

Salameh,

Alsadaan

et al. 2023

J Int Med Res

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Objective To examine the effect of immediate chest physiotherapy (ICPT) on pulmonary function and arterial blood gases among extubated patients. Method This prospective study enrolled patients aged 20–60 years who had been intubated for 48 h. They were randomly assigned to either a control or study group. The study group received ICPT by trained critical care nurses and physiotherapists, which included early mobilization, breathing exercises and airway clearance. The control group received standard nursing chest care (positioning, oral and endotracheal suctioning) without ICPT. Researchers evaluated participants using pulmonary function tests, arterial blood gas tests and mechanical ventilation parameters. Results The study enrolled 70 patients. There were no significant differences in the sociodemographic characteristics and medical data before intubation between the two groups except for preparatory education. After extubation, the vital capacity was significantly higher in the study group compared with the control group. There were also significant differences between the two groups in other lung function tests and arterial blood gas tests. After extubation, the total lung capacity, functional residual capacity and residual volume were significantly higher in the study group compared with the control group. Conclusion The use of ICPT improved both pulmonary function and arterial blood gases.

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“…These changes in spontaneous drive to breathe may lead to changes in respiratory sensation. It reduces dyspnea stimulated by a combination of hypercapnia and an extrinsic respiratory load or intrinsic load (Meawad et al, 2018).…”

Section: Regardingmentioning

confidence: 99%

Effect of Multimodality Chest Physiotherapy Interventions on Prevention of Ventilator Associated Pneumonia among Mechanically Ventilated Patients

Younes

Ahmed²,

Ahmed³

et al. 2022

Alexandria Scientific Nursing Journal

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Background: Ventilator-Associated Pneumonia (VAP) refers to nosocomial pneumonia occurring 48 hours or more after initiation of mechanical ventilation (MV). Critically ill patients who is receiving mechanical ventilation may have an increased risk of VAP due to multiple factors as sputum retentions and atelectasis. Thus, different combinations of chest physiotherapy assist in the reexpansion of the atelectatic lung, confer short-term improvement in total lung-thorax compliance and expiratory flow rates, and reduce the incidence of ventilator-associated pneumonia. Objective: To identify the effect of multimodality chest physiotherapy interventions on prevention of ventilator associated pneumonia among mechanically ventilated patients. Settings: The study was carried out at the general ICUs at Damanhur Medical National institute which is classified to general ICU I (15bed) and the General ICU II (13bed). Subjects:A convenient sample of 60 adult mechanically ventilated patients from the starting day of invasive mechanical ventilation were included in the study. Tools: Two tools were used to collect the data of this study. The first tool was outcomes of multimodality chest physiotherapy assessment that was used to assess the effect of multimodality chest physiotherapy interventions. The second tool was VAP bundle observation checklist that was used to assess nurses' compliance with ventilator bundle practices. Results: The findings of the current study revealed that there was a statistically significant difference between the intervention and control groups regarding the occurrence of VAP (P= 0.001). Patients who were subjected to multimodality chest physiotherapy interventions had lower VAP rate. Conclusion: The present study revealed that patients who had a twice-daily multimodality chest physiotherapy interventions in the form of manual hyperinflation, endotracheal suctioning, patient positioning plus chest percussion and mechanical chest vibration device had a better effect on decreasing VAP occurrence as well as enhance patient`s clinical outcome than those who do not had. Recommendations: The nursing staff should use chest vibrating device with other chest physiotherapy techniques to reduce VAP in mechanically ventilated patients.

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Effect of Chest Physical Therapy Modalities on Oxygen Saturation and Partial Pressure of Arterial Oxygen in Mechanically Ventilated Patients

Cited by 5 publications

References 6 publications

Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes

Effect of Using Multimodality Chest Physiotherapy on Myasthenia Gravis Patients' Clinical Outcomes

Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU

Effect of Multimodality Chest Physiotherapy Interventions on Prevention of Ventilator Associated Pneumonia among Mechanically Ventilated Patients

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