RT Journal Article
SR Electronic
T1 Effects of Expiratory Rib-Cage Compression on Oxygenation, Ventilation, and Airway-Secretion Removal in Patients Receiving Mechanical Ventilation
JF Respiratory Care
FD American Association for Respiratory Care
SP 1430
OP 1437
VO 50
IS 11
A1 Takeshi Unoki
A1 Yuri Kawasaki
A1 Taro Mizutani
A1 Yoko Fujino
A1 Yaeko Yanagisawa
A1 Shinichi Ishimatsu
A1 Fumiko Tamura
A1 Hidenori Toyooka
YR 2005
UL http://rc.rcjournal.com/content/50/11/1430.abstract
AB BACKGROUND: Expiratory rib-cage compression, a chest physiotherapy technique, is well known as the “squeezing” technique in Japan. OBJECTIVE: To determine the effects of rib-cage compression on airway-secretion removal, oxygenation, and ventilation in patients receiving mechanical ventilation. SETTING: An intensive care unit of an emergency and critical care center at a tertiary-care teaching hospital in Tokyo, Japan. METHODS: Thirty-one intubated, mechanically ventilated patients in an intensive care unit were studied in a randomized, crossover trial. The patients received endotracheal suctioning with or without rib-cage compression, with a minimum 3-hour interval between the 2 interventions. Rib-cage compression was performed for 5 min before endotracheal suctioning. Arterial blood gas and respiratory mechanics were measured 5 min before endotracheal suctioning (baseline) and 25 min after suctioning. The 2 measurement periods were carried out on the same day. RESULTS: There were no significant differences in the ratio of arterial partial pressure of oxygen to fraction of inspired oxygen, PaCO2, or dynamic compliance of the respiratory system between the 2 periods (before and after endotracheal suctioning). Moreover, there were no significant differences in airway-secretion removal between the 2 periods. CONCLUSIONS: This study suggests that rib-cage compression prior to endotracheal suctioning does not improve airway-secretion removal, oxygenation, or ventilation after endotracheal suctioning in this unselected population of mechanically ventilated patients.