Critical Care |

The Benefits of the Respiratory Physiotherapy Program of the Intensive Care Unit’s Mechanical Ventilated Patients FREE TO VIEW

Monica Copotoiu, PhD; Oana Laura Chis, RT; Ruxandra Copotoiu, PhD
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University of Medicine and Pharmacy of Tirgu Mures, Department of Rheumatology, Physical Medicine and Rehabilitation, Tirgu Mures, Romania

Chest. 2014;145(3_MeetingAbstracts):191A. doi:10.1378/chest.1836416
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SESSION TITLE: Critical Care Posters III

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: The objective of our study was to evaluate the benefits of a respiratory rehabilitation programme, performed by a trained physiotherapist on the mechanically ventilated ICU patients. The end points were: the maintaining of the ph to normal values, the lowering of the pCO2 from hypercapnic to normal values, the amelioration of the oxygenation values, the increasing of the pO2, the increasing of the saturation level of oxygen (SaO2).

METHODS: In the First Unit of Intensive Care Clinic of the Emergency County Hospital of Tirgu Mures, a prospective, interventional study was performed started from the 1st of March till the end of July 2013. A respiratory physiotherapy was initiated, twice a day, to a randomised group of mechanical ventilated patients. Twenty-eight patients were included in our study. They were divided in two groups (the treated and the control group). The variables used to monitor the effects of the respiratory physiotherapy were those depicted by the blood gase analysis. Data were analysed with GraphPad Prism 6.0.

RESULTS: Unexpectedly of what we predicted, on the first day we noted high values of the ph and pCO2 at 4 patients from the respiratory rehabilitation group. Still after each manoeuvre of respiratory physiotherapy, the value of paCO2 decreased from a mean value of 48.86 +/- 17.18 to 45.03 +/- 17.47 (p: 0.0273). As for the pO2, after an initial decrease (p 0.0195) on the first day of therapy, we observed a constant rise. Concerning the SaO2 in the rehab group we noticed a normalisation of the mean value from 71.84% to 91.60%. On the fifth day, strangely enough, the SaO2 values were similar with the ones from the first day (69.80% +/- 49.80%). An acid value of the ph (7.319+/- 0.184) was associated with the decreased SaO2.

CONCLUSIONS: The additive respiratory management, supplied by a trained physiotherapist in respiratory rehabilitation, is beneficial for the outcome of the mechanical ventilated ICU patients.

CLINICAL IMPLICATIONS: Routine respiratory physiotherapy is advisable in mechanical ventilated ICU patients.

DISCLOSURE: The following authors have nothing to disclose: Monica Copotoiu, Oana Laura Chis, Ruxandra Copotoiu

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