Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt

Abstract Background Manual hyperinflation and expiratory rib cage compression are methods of chest physiotherapy. They are commonly applied but their value and their early utilization managing mechanically ventilated remain questionable. The purpose of the study was to investigate the effects of man...

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Autores principales:	Nahla Shaaban Khalil, Manal Sayed Ismaeel, Ahmed Hassan Askar, Mohamed Soliman Sayed
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Manual hyperinflation Rib cage compression Endotracheal suctioning Arterial blood gas parameters Mechanically ventilated patients Diseases of the respiratory system RC705-779 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/f3763424aa3c438abd276bd64bacded8
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spelling	oai:doaj.org-article:f3763424aa3c438abd276bd64bacded82021-11-07T12:02:30ZEffects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt10.1186/s43168-021-00096-51687-84262314-8551https://doaj.org/article/f3763424aa3c438abd276bd64bacded82021-11-01T00:00:00Zhttps://doi.org/10.1186/s43168-021-00096-5https://doaj.org/toc/1687-8426https://doaj.org/toc/2314-8551Abstract Background Manual hyperinflation and expiratory rib cage compression are methods of chest physiotherapy. They are commonly applied but their value and their early utilization managing mechanically ventilated remain questionable. The purpose of the study was to investigate the effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients. Results Seventy mechanically ventilated patients at a teaching hospital in Egypt were assigned to the clinical trial study. The age of more than half of the studied samples ranged between 60 and 69 years with a mean age of 53.64 ± 16.44 years. Initially, the ABG parameters were assessed. Then, the patients were exposed to manual hyperinflation for 5 min and 20 min external expiratory chest compression followed by endotracheal suctioning. Later, ABG parameters were assessed again and compared to the initial one. The findings revealed significant differences in ABG parameters before and after completion of MHI and ERCC and ETT suctioning in relation to PaO2 (t = 3.892) and SaO2 (t= 5.904). Also, it showed significant improvement in PaO2 and SaO2 after the completion of interventions, while no significant differences were found in other ABG parameters. This study was registered retrospectively with an ISRCTN number 39983 on 5/6/2021. Conclusion Applying manual hyperinflation with rib cage compression and endotracheal suctioning improved mainly the arterial oxygenation parameters in mechanically ventilated patients despite no significant changes observed in other ABG parameters.Nahla Shaaban KhalilManal Sayed IsmaeelAhmed Hassan AskarMohamed Soliman SayedSpringerOpenarticleManual hyperinflationRib cage compressionEndotracheal suctioningArterial blood gas parametersMechanically ventilated patientsDiseases of the respiratory systemRC705-779Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENThe Egyptian Journal of Bronchology, Vol 15, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Manual hyperinflation Rib cage compression Endotracheal suctioning Arterial blood gas parameters Mechanically ventilated patients Diseases of the respiratory system RC705-779 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Manual hyperinflation Rib cage compression Endotracheal suctioning Arterial blood gas parameters Mechanically ventilated patients Diseases of the respiratory system RC705-779 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Nahla Shaaban Khalil Manal Sayed Ismaeel Ahmed Hassan Askar Mohamed Soliman Sayed Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
description	Abstract Background Manual hyperinflation and expiratory rib cage compression are methods of chest physiotherapy. They are commonly applied but their value and their early utilization managing mechanically ventilated remain questionable. The purpose of the study was to investigate the effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients. Results Seventy mechanically ventilated patients at a teaching hospital in Egypt were assigned to the clinical trial study. The age of more than half of the studied samples ranged between 60 and 69 years with a mean age of 53.64 ± 16.44 years. Initially, the ABG parameters were assessed. Then, the patients were exposed to manual hyperinflation for 5 min and 20 min external expiratory chest compression followed by endotracheal suctioning. Later, ABG parameters were assessed again and compared to the initial one. The findings revealed significant differences in ABG parameters before and after completion of MHI and ERCC and ETT suctioning in relation to PaO2 (t = 3.892) and SaO2 (t= 5.904). Also, it showed significant improvement in PaO2 and SaO2 after the completion of interventions, while no significant differences were found in other ABG parameters. This study was registered retrospectively with an ISRCTN number 39983 on 5/6/2021. Conclusion Applying manual hyperinflation with rib cage compression and endotracheal suctioning improved mainly the arterial oxygenation parameters in mechanically ventilated patients despite no significant changes observed in other ABG parameters.
format	article
author	Nahla Shaaban Khalil Manal Sayed Ismaeel Ahmed Hassan Askar Mohamed Soliman Sayed
author_facet	Nahla Shaaban Khalil Manal Sayed Ismaeel Ahmed Hassan Askar Mohamed Soliman Sayed
author_sort	Nahla Shaaban Khalil
title	Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
title_short	Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
title_full	Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
title_fullStr	Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
title_full_unstemmed	Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt
title_sort	effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, egypt
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/f3763424aa3c438abd276bd64bacded8
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Effects of manual hyperinflation with rib cage compression and endotracheal suctioning on arterial blood gas parameters in mechanically ventilated patients at a university hospital, Egypt

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