Effect of Cough Augmentation Techniques on Airway Clearance of Mechanically Ventilated Patients | ||||
Tanta Scientific Nursing Journal | ||||
Article 2, Volume 34, Issue 3, August 2024 PDF (17.85 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/tsnj.2024.375678 | ||||
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Authors | ||||
Hebatallah F. ElHadad1; Safaa E. Ahmed2; , Rehab S. Elkalla3; , Sheren M. Diab4 | ||||
11Master student, Critical Care and Emergency Nursing, Tanta University, Egypt. 2Clinical Instructor, Faculty of Nursing, Tanta University,Egypt. | ||||
2Professor, Critical Care and Emergency Nursing Tanta University, Egypt. | ||||
3Assistant professor, Anesthesia, Surgical ICU and Pain Management, Faculty of Medicine, Tanta University, Egypt | ||||
45Assistant professor, Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
Abstract | ||||
Background: Mechanical ventilation is a form of life support for 90% of critically ill patients. Aim: To evaluate the effect of cough augmentation techniques on the airway clearance of a mechanically ventilated patient. Subjects and Method: Design: Quasi- experimental study. Setting: This study was conducted at Anesthesia Intensive Care Unit of Tanta Emergency Hospital. Subjects: 60 cases divided into two groups 30 in each in the above previously mentioned setting. Tools: two tools were utilized in this research. Tool I: Mechanically Ventilated Patients Evaluation Sheet, Tool II: Patients' Hemodynamic Parameters Sheet. Results: patients with a specific medical condition have a significant increase in respiratory rate, heart rate, systolic and diastolic blood pressure, and oxygen saturation after 25 minutes of intervention (p<0.05). The study and control groups didn‘t show significant differences in temperature (p<0.05). Mean pulmonary filtration rate (PH) didn‘t change significantly, but a significant decrease was observed in the third day only among the study group. Conclusion: The study found that cough augmentation techniques significantly improved airway clearance in mechanically ventilated patients, leading to increased hemodynamic stability, oxygen saturation, blood gas exchange, and breathing stability. Recommendation: The investigation suggests further multi-center studies and the use of cough augmentation techniques in managing secretions complaints in Intensive Care Units. | ||||
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