Manual hyperinflation - PEEP to recruit and rapid release for clearance of airway secretions

Ahmed, Faizan; Shafeeq, Aamir Mohammed; Moiz, Jamal Ali; Geelani, Muhammed Abid

doi:10.1016/j.hrtlng.2010.10.007

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of our study are in accord with similar practices observed in the USA (19), Europe (20), Australia (21,22), the UK, Hong Kong (23), and Asia (8,24,25). Based on the previous literature, the findings suggest a moderate to strong evidence of the use of chest physical therapy in maintaining bronchial hygiene (26,27).…”

Section: Discussionmentioning

confidence: 79%

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Kashoo

Alqahtani

Alzhrani

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Early mobilization of patients in the intensive care unit (ICU) is associated with positive health benefits. The available literature does not provide insights into the current status of physical therapy practice in the ICU in the Kingdom of Saudi Arabia (KSA). To determine the current standard of ICU physical therapy practice, attitude, and barriers, an online survey was administered to KSA physiotherapists (PTs) working in the hospitals. Methods: A total of 124 PTs volunteered to participate, and the questionnaire consisted of closed-ended questions with regard to their experiences, qualifications, barriers, and most frequently encountered case scenarios in the ICU. Results: The most commonly referred cases were traumatic paraplegia (n=111, 89%) and stroke (n=102, 82.3%) compared to congestive road traffic accidents (n=20, 16.1%) and pulmonary infections (n=7, 5.6%). The preferred treatment of choice among PTs was chest physiotherapy (n=102, 82.2%) and positioning (n=73, 58.8%), whereas functional electrical stimulation (n=12, 9.6%) was the least preferred choice of physical therapy, irrespective of the condition. The perceived barriers in ICU physical therapy management was low confidence in managing cases (n=89, 71.7%), followed by inadequate training (n=53, 42.7%), and the least mentioned barrier was a communication gap among the critical care team members (n=8, 6.4%). Conclusion: PTs reported significant variation in the choice of treatment for different clinical case scenarios in the ICU. Several facilitators and barriers to physical therapy management should be taken into account to improve ICU recovery. Among the most important barriers are low confidence and inadequate training and strategies needed to overcome these barriers.

show abstract

Section: Discussionmentioning

confidence: 79%

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Kashoo

Alqahtani

Alzhrani

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

Acute Effect of Chest Physical Therapy on Arterial Blood Gases for Mechanical Ventilated Patients

Abdeen¹,

El-Gendy

Nassef³

et al. 2020

The Medical Journal of Cairo University

View full text Add to dashboard Cite

Background: Patients receiving mechanical ventilation have an increased risk of complications resulting in excess morbidity and mortality. Aim of Study:This study aimed to identify the acute effect of chest physical therapy on arterial blood gases of mechanically ventilated patients.Material and Methods: Sixty mechanically ventilated patients participated in the study. Their age ranged from 40 to 60 years. The patients were assigned into one study group including both sexes who received a chest physiotherapy protocol in form of (manual hyperinflation, vibration, percussion, suctioning, upper and lower limbs exercise and ending position) for one session. Arterial Blood Gases (ABG) including (pH, PaO 2 , SO 2 , PaCO2 and HCO 3 ) were assessed by arterial blood sample analysis through the Laboratory GEM premier 3000 device. All the assessment was done for every patient pre and post chest physiotherapy protocol. Results:The results revealed a marked improvement in arterial blood gas exchange as compared to base line reflected by a highly significant statistical increase in PaO 2 and SaO 2 (p<0.001) and a significant decrease in PaCO 2 (p<0.001) while with no significant changes regarding pH and HCO 3 (p=0.36 and 0.15 respectively). Conclusion:Chest physiotherapy protocol is an effective method for improving arterial blood gases of mechanical ventilated patients acutely.

show abstract

Manual hyperinflation - PEEP to recruit and rapid release for clearance of airway secretions

Cited by 2 publications

References 8 publications

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multiple Centre Cross-Sectional Survey

Acute Effect of Chest Physical Therapy on Arterial Blood Gases for Mechanical Ventilated Patients

Contact Info

Product

Resources

About