Effects of Manual Rib Cage Compressions on Mucus Clearance in Mechanically Ventilated Pigs.

Animals Mucus Pressure Pulmonary Atelectasis Respiration, Artificial Rib Cage Swine
airway clearance mechanical ventilation physiotherapy rib cage compression suctioning

Journal

Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357

Informations de publication

Date de publication:
Aug 2020
Historique:
pubmed: 13 2 2020
medline: 26 2 2021
entrez: 13 2 2020
Statut: ppublish

Résumé

Manual rib cage compression is a chest physiotherapy technique routinely used in clinical practice. However, scientific evidence remains scarce on the effects of manual rib cage compression on airway clearance and oxygenation in mechanically ventilated patients. Anesthetized pigs were intubated via the trachea and mechanically ventilated. To create atelectasis, artificial mucus was infused into the airway. Each pig was randomly assigned to 1 of 2 groups: closed suctioning alone (control group, 7 pigs), or manual rib cage compression combined with closed suctioning (manual rib cage compression group, 8 pigs). Hard and brief rib cage compression synchronized with early expiratory phase was tested. Mucus clearance and oxygenation were assessed after the intervention. Sequential changes of hemodynamics were assessed after the intervention. During hard manual rib cage compression, the mean ± SD peak expiratory flow increased to 44 ± 7 L/min compared with 31 ± 7 L/min without treatment ( Our findings indicated that hard and brief manual rib cage compression combined with closed suctioning was safe and led to improvement of mucus clearance; however, no effectiveness was confirmed with regard to oxygenation and ventilation.

Sections du résumé

BACKGROUND BACKGROUND
Manual rib cage compression is a chest physiotherapy technique routinely used in clinical practice. However, scientific evidence remains scarce on the effects of manual rib cage compression on airway clearance and oxygenation in mechanically ventilated patients.
METHODS METHODS
Anesthetized pigs were intubated via the trachea and mechanically ventilated. To create atelectasis, artificial mucus was infused into the airway. Each pig was randomly assigned to 1 of 2 groups: closed suctioning alone (control group, 7 pigs), or manual rib cage compression combined with closed suctioning (manual rib cage compression group, 8 pigs). Hard and brief rib cage compression synchronized with early expiratory phase was tested. Mucus clearance and oxygenation were assessed after the intervention. Sequential changes of hemodynamics were assessed after the intervention.
RESULTS RESULTS
During hard manual rib cage compression, the mean ± SD peak expiratory flow increased to 44 ± 7 L/min compared with 31 ± 7 L/min without treatment (
CONCLUSIONS CONCLUSIONS
Our findings indicated that hard and brief manual rib cage compression combined with closed suctioning was safe and led to improvement of mucus clearance; however, no effectiveness was confirmed with regard to oxygenation and ventilation.

Identifiants

DOI: 10.4187/respcare.07249 PMID: 32047123
pubmed: 32047123
pii: respcare.07249
doi: 10.4187/respcare.07249
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1135-1140

Informations de copyright

Copyright © 2020 by Daedalus Enterprises.

Auteurs

Akira Ouchi (A)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Hideaki Sakuramoto (H)

Department of Adult Health Nursing, College of Nursing, Ibaraki Christian University, Hitachi, Ibaraki, Japan.

Takeshi Unoki (T)

Department of Adult Health Nursing, School of Nursing, Sapporo City University, Sapporo, Japan.

Yasuyo Yoshino (Y)

Department of Nursing, Kanto Gakuin University College of Nursing, Yokohama, Kanagawa, Japan.

Haruhiko Hosino (H)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Yasuaki Koyama (Y)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Yuki Enomoto (Y)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Nobutake Shimojo (N)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Taro Mizutani (T)

Ibaraki Western Medical Center, Ibaraki, Japan.

Yoshiaki Inoue (Y)

Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan. yinoue@md.tsukuba.ac.jp.

Articles similaires

Pulmonary Atelectasis After Sedation With Propofol vs Propofol-Ketamine for Magnetic Resonance Imaging in Children: A Randomized Clinical Trial.

Yu Jeong Bang, Jeayoun Kim, Nam-Su Gil et al.
1.00
Humans Ketamine Propofol Pulmonary Atelectasis Female

Evaluating the efficacy of telesurgery with dual console SSI Mantra Surgical Robotic System: experiment on animal model and clinical trials.

Sudhir Prem Srivastava, Vishwajyoti Pascual Srivastava, Avinesh Singh et al.
1.00
Robotic Surgical Procedures Animals Humans Telemedicine Models, Animal

Odour generalisation and detection dog training.

Lyn Caldicott, Thomas W Pike, Helen E Zulch et al.
1.00
Animals Odorants Dogs Generalization, Psychological Smell

FBXO22 inhibits colitis and colorectal carcinogenesis by regulating the degradation of the S2448-phosphorylated form of mTOR.

Minle Li, Xuan Chen, Pengfei Qu et al.
1.00
Animals TOR Serine-Threonine Kinases Colorectal Neoplasms Colitis Mice

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Liquides et sécrétions biologiques › Sécrétions corporelles › Mucus › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Phénomènes physiques › Phénomènes mécaniques › Pression › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Maladies pulmonaires › Atélectasie pulmonaire › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Appareil locomoteur › Squelette › Cage thoracique › Effects of Manual Rib Cage Compressions on...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Artiodactyla › Suidae › Effects of Manual Rib Cage Compressions on...