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What Is the Best Pulmonary Physiotherapy Method in ICU?
Objective. Effects of high frequency chest wall oscillation technique were investigated on intubated ICU patients. Background. Thirty intubated patients were included in the study. The control group (n = 15) received routine pulmonary rehabilitation technique. In addition to the pulmonary rehabilita...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904520/ https://www.ncbi.nlm.nih.gov/pubmed/27445542 http://dx.doi.org/10.1155/2016/4752467 |
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author | Kuyrukluyildiz, Ufuk Binici, Orhan Kupeli, İlke Erturk, Nurel Gulhan, Barış Akyol, Fethi Ozcicek, Adalet Onk, Didem Karabakan, Guldane |
author_facet | Kuyrukluyildiz, Ufuk Binici, Orhan Kupeli, İlke Erturk, Nurel Gulhan, Barış Akyol, Fethi Ozcicek, Adalet Onk, Didem Karabakan, Guldane |
author_sort | Kuyrukluyildiz, Ufuk |
collection | PubMed |
description | Objective. Effects of high frequency chest wall oscillation technique were investigated on intubated ICU patients. Background. Thirty intubated patients were included in the study. The control group (n = 15) received routine pulmonary rehabilitation technique. In addition to the pulmonary rehabilitation technique, the study group (n = 15) was given high frequency chest wall oscillation (HFCWO). APACHE II, dry sputum weight, lung collapse index, and blood gas values were measured at 24th, 48th, and 72nd hours and endotracheal aspirate culture was studied at initial and 72nd hour. The days of ventilation and days in ICU were evaluated. Results. There is no significant difference between APACHE II scores of groups. The dry sputum weights increased in the study group at 72nd hour (p = 0.001). The lung collapse index decreased in study group at 48th (p = 0.003) and 72nd hours (p < 0.001). The PO(2) levels increased in the study group at 72nd hour (p = 0.015). The culture positivity at 72nd hour was decreased to 20%. The days of ventilation and staying in ICU did not differ between the groups. Conclusions. Although HFCWO is very expensive equipment, combined technique may prevent the development of lung atelectasis or hospital-acquired pneumonia more than routine pulmonary rehabilitation. It does not change intubated period and length of stay in ICU. However, more further controlled clinical studies are needed to use it in ICU. |
format | Online Article Text |
id | pubmed-4904520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-49045202016-06-30 What Is the Best Pulmonary Physiotherapy Method in ICU? Kuyrukluyildiz, Ufuk Binici, Orhan Kupeli, İlke Erturk, Nurel Gulhan, Barış Akyol, Fethi Ozcicek, Adalet Onk, Didem Karabakan, Guldane Can Respir J Clinical Study Objective. Effects of high frequency chest wall oscillation technique were investigated on intubated ICU patients. Background. Thirty intubated patients were included in the study. The control group (n = 15) received routine pulmonary rehabilitation technique. In addition to the pulmonary rehabilitation technique, the study group (n = 15) was given high frequency chest wall oscillation (HFCWO). APACHE II, dry sputum weight, lung collapse index, and blood gas values were measured at 24th, 48th, and 72nd hours and endotracheal aspirate culture was studied at initial and 72nd hour. The days of ventilation and days in ICU were evaluated. Results. There is no significant difference between APACHE II scores of groups. The dry sputum weights increased in the study group at 72nd hour (p = 0.001). The lung collapse index decreased in study group at 48th (p = 0.003) and 72nd hours (p < 0.001). The PO(2) levels increased in the study group at 72nd hour (p = 0.015). The culture positivity at 72nd hour was decreased to 20%. The days of ventilation and staying in ICU did not differ between the groups. Conclusions. Although HFCWO is very expensive equipment, combined technique may prevent the development of lung atelectasis or hospital-acquired pneumonia more than routine pulmonary rehabilitation. It does not change intubated period and length of stay in ICU. However, more further controlled clinical studies are needed to use it in ICU. Hindawi Publishing Corporation 2016 2016-04-24 /pmc/articles/PMC4904520/ /pubmed/27445542 http://dx.doi.org/10.1155/2016/4752467 Text en Copyright © 2016 Ufuk Kuyrukluyildiz et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Kuyrukluyildiz, Ufuk Binici, Orhan Kupeli, İlke Erturk, Nurel Gulhan, Barış Akyol, Fethi Ozcicek, Adalet Onk, Didem Karabakan, Guldane What Is the Best Pulmonary Physiotherapy Method in ICU? |
title | What Is the Best Pulmonary Physiotherapy Method in ICU? |
title_full | What Is the Best Pulmonary Physiotherapy Method in ICU? |
title_fullStr | What Is the Best Pulmonary Physiotherapy Method in ICU? |
title_full_unstemmed | What Is the Best Pulmonary Physiotherapy Method in ICU? |
title_short | What Is the Best Pulmonary Physiotherapy Method in ICU? |
title_sort | what is the best pulmonary physiotherapy method in icu? |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904520/ https://www.ncbi.nlm.nih.gov/pubmed/27445542 http://dx.doi.org/10.1155/2016/4752467 |
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