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An evaluation of a single chest physiotherapy treatment on mechanically ventilated patients with acute lung injury
BARKER M; ADAMS S
PHYSIOTHER RES INT , 2002, vol. 7, n° 3, p. 157-169 Doc n°: 106292 Localisation : Documentation IRR Descripteurs : KA91 - PHYSIOTHERAPIE, FD52 - REEDUCATION ET READAPTATION RESPIRATOIRES Acute lung injury is a lung pathology that presents frequently on the intensive care unit. Chest physiotherapy, in the form of endotracheal suction, alternate side-lying and manual hyperinflation, is usually given to patients with this condition with the intention of removing retained pulmonary secretions and recruiting collapsed distal lung units. Despite this common practice there is insufficient research on the effects of chest physiotherapy in patients with acute lung injury being ventilated mechanically. The aim of the present study was to further understanding of the effects of three modes of treatment in chest physiotherapy in an acute lung injury patient group. METHOD: This randomized, controlled trial investigated all mechanically ventilated patients with acute lung injury admitted to the adult intensive care unit at Guy's and St Thomas' NHS Trust between August 1996 and July 1997, who matched the inclusion criteria. Patients were randomized into one of three treatment groups: Group 1 (suctioned only); Group 2 (positioned and suctioned); and Group 3 (positioned, manually hyperinflated and suctioned). Baseline and 10, 30 and 60 minutes' post-treatment data were recorded for dynamic pulmonary compliance, arterial blood gases and haemodynamic variables. Langue : ANGLAIS Identifiant basis : 2002224365 |
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