TY - JOUR
T1 - Intrapulmonary percussive ventilation in tracheostomized patients
T2 - A randomized controlled trial
AU - Clini, Enrico M.
AU - Antoni, Francesca Degli
AU - Vitacca, Michele
AU - Crisafulli, Ernesto
AU - Paneroni, Mara
AU - Chezzi-Silva, Sheila
AU - Moretti, Maurizio
AU - Trianni, Ludovico
AU - Fabbri, Leonardo M.
PY - 2006/12
Y1 - 2006/12
N2 - Objective: To investigate whether the addition of intrapulmonary percussive ventilation to the usual chest physiotherapy improves gas exchange and lung mechanics in tracheostomized patients. Design and setting: Randomized multicenter trial in two weaning centers in northern Italy. Patients and participants: 46 tracheostomized patients (age 70 ± 7 years, 28 men, arterial blood pH 7.436 ± 0.06, PaO2/FIO2 238 ± 46) weaned from mechanical ventilation. Interventions: Patients were assigned to two treatment groups performing chest physiotherapy (control), or percussive ventilation (IMP2 Breas, Sweden) 10 min twice/day in addition to chest physiotherapy (intervention). Measurements and results: Arterial blood gases, PaO2/FIO2 ratio, and maximal expiratory pressure were assessed every 5th day for 15 day. Treatment complications that showed up in 1 month of follow-up were recorded. At 15 days the intervention group had a significantly better PaO2/FIO2 ratio and higher maximal expiratory pressure; after follow-up this group also had a lower incidence of pneumonia. Conclusions: The addition of percussive ventilation to the usual chest physiotherapy regimen in tracheostomized patients improves gas exchange and expiratory muscle performance and reduces the incidence of pneumonia.
AB - Objective: To investigate whether the addition of intrapulmonary percussive ventilation to the usual chest physiotherapy improves gas exchange and lung mechanics in tracheostomized patients. Design and setting: Randomized multicenter trial in two weaning centers in northern Italy. Patients and participants: 46 tracheostomized patients (age 70 ± 7 years, 28 men, arterial blood pH 7.436 ± 0.06, PaO2/FIO2 238 ± 46) weaned from mechanical ventilation. Interventions: Patients were assigned to two treatment groups performing chest physiotherapy (control), or percussive ventilation (IMP2 Breas, Sweden) 10 min twice/day in addition to chest physiotherapy (intervention). Measurements and results: Arterial blood gases, PaO2/FIO2 ratio, and maximal expiratory pressure were assessed every 5th day for 15 day. Treatment complications that showed up in 1 month of follow-up were recorded. At 15 days the intervention group had a significantly better PaO2/FIO2 ratio and higher maximal expiratory pressure; after follow-up this group also had a lower incidence of pneumonia. Conclusions: The addition of percussive ventilation to the usual chest physiotherapy regimen in tracheostomized patients improves gas exchange and expiratory muscle performance and reduces the incidence of pneumonia.
KW - Chest physiotherapy
KW - Mechanical ventilation
KW - Tracheostomy
KW - Weaning
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U2 - 10.1007/s00134-006-0427-8
DO - 10.1007/s00134-006-0427-8
M3 - Article
C2 - 17061020
AN - SCOPUS:33751516150
VL - 32
SP - 1994
EP - 2001
JO - Intensive Care Medicine
JF - Intensive Care Medicine
SN - 0342-4642
IS - 12
ER -