Effect of Manual Hyperinflation with Rib Cage Compression on the Ventilation Outcomes of Mechanically Ventilated Patients | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 27, Issue 2, June 2025, Pages 1-16 PDF (721.37 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2025.429788 | ||
| Authors | ||
| Aya Mohamed Mahmoud Elshenawy* 1; Eman Arafa Hassan2; Bassem Nashaat Beshay3; Azza Hamdi Elsoussi4 | ||
| 1Assistant Lecturer , Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 2Assistant professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| 3Professor, Critical care medicine, Faculty of Medicine, Alexandria University | ||
| 4Professor, Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University | ||
| Abstract | ||
| Background: Critically ill patients on mechanical ventilation usually develop mucus retention that causes partial or total airway obstruction resulting in atelectasis, alveolar hypoventilation, and hypoxemia. Therefore, rib cage compression as a technique for clearing airways act to facilitate secretion clearance and consequently improve the clinical course of critically ill patients. Objective: To determine the effect of manual hyperinflation with rib cage compression on the ventilation outcomes of mechanically ventilated patients. Setting: This study was performed at the general ICUs of the Alexandria Main University Hospital, namely: unit I, unit II, unit III, unit IV, and unit V, Egypt. Subjects: A convenient sample of 170 mechanically ventilated patients who were admitted to the previously mentioned ICUs were enrolled in the current study. Tool: “Outcomes of manual hyperinflation with rib cage compression assessment tool” is the tool used to collect the data of this study. Results: The age of more than one third of the studied groups ranged from 36-55 years with a mean age of 44.2±12.7 and 43±13 for the intervention and control groups respectively. No statistically significant differences were found between the APACHE II, and Glasgow coma scores in the intervention and control groups, where (P=0.13) and (P=0.14) respectively. There was a significant difference between the intervention and control groups regarding dynamic compliance, and tidal volume whereas (P=0.04). Conclusion: The present study demonstrated that the performance of manual hyperinflation with rib cage compression before tracheal suctioning enhances ventilation outcomes in mechanically ventilated patients. These combined techniques help to improve lung compliance as well as tidal and minute volumes. Recommendations: The nursing staff should perform rib cage compression with other chest physiotherapy techniques to maximize the benefits for mechanically ventilated patients. Examine mechanically ventilated patients for more than five days to discover the long-term effect of the rib cage compression technique. | ||
| Keywords | ||
| Manual hyperinflation; Rib cage compression; Mechanically ventilated patient | ||
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