Effect of Chest Physiotherapy and Recruitment Maneuvers on Hemodynamics and ICU Stay of Mechanically Ventilated Patients with Acute Lung Injury.

Abstract

Background Acute lung injury Patients may require mechanical ventilation to survive Chest physiotherapy & Recruitment maneuvers are two methods that improve respiratory efficiency and promote Hemodynamic stability Aim To investigate effect of chest Physiotherapy & recruitment maneuvers on hemodynamic parameters and length of ICU stay of mechanically ventilated Patients with Acute lung Injury Design Quasi-experimental design Setting The study was carried out in trauma intensive care unit at Assiut university hospital. Subjects: A convenience sample of 60 matched patients and randomly assigned into two equal groups diagnosed as having an acute lung injury, coma scale ≥ 13, on mechanical ventilation Tools Tool: acute lung injury mechanically ventilated patient assessment sheet were utilized to collect data Methods study group was exposed to two sessions/day of chest physiotherapy& recruitment maneuvers until disconnection from mechanical ventilator in addition to the routine hospital care. Results Significant statistical was put into evidence between the two studied groups in the hemodynamic parameters HR was (96.71±11.39) in study group (110.64±11.14) control group after 30 min (p=0.001) after 12 (93.16±22.79) in study group (91.07±7.0) in control group (p=0.05) Temperature in control group (38.9 to 38.6) (37.3 to 37.7) in study group (p=0.001) control group stayed longer in ICU than study group (p=0.001)Conclusion Combining Chest physiotherapy Recruitment maneuvers are of great values for improvement of respiratory efficiency and promote Hemodynamic parameters Replication of the study on larger propriety sample is recommended.