Combined Effects of Mechanical Ventilation and Postural Drainage in Acute Respiratory Distress Syndrome Mechanical Ventilation and Postural Drainage in ARDS

Article Sidebar

PDF
Published: Sep 26, 2024
DOI: https://doi.org/10.61919/jhrr.v4i3.1270
Keywords:
Respiration Artificial Respiration Postural Drainage Respiratory Physiological Phenome. Respiratory Distress Syndrome

Main Article Content

Sidra Afzal
Riphah International University, Lahore, Pakistan
Mishal Shamsi
Assistant Professor, Sharif College of Rehabilitation Sciences, Lahore, Pakistan
Arida Mushtaq
Mars Institute, Lahore, Pakistan
Sara Aabroo
Riphah International University, Islamabad, Pakistan
Noor Ul Huda
Student, Riphah International University, Islamabad, Pakistan
Muhammad Ali Haider
Hajvery University, Lahore, Pakistan

Abstract

Background: Acute Respiratory Distress Syndrome (ARDS) is a severe condition impacting lung function, often requiring mechanical ventilation. Postural drainage may improve oxygenation and airway clearance in ARDS patients, particularly in those with burn injuries and inhalation trauma.
Objective: This study aimed to evaluate the combined effects of mechanical ventilation and postural drainage on oxygen saturation and airway clearance in burn patients with ARDS.
Methods: A randomized controlled trial was conducted with 50 burn patients, aged 20-50, admitted to the ICU. Patients were divided into two groups: Group A received postural drainage with mechanical ventilation, and Group B received only mechanical ventilation. Data were collected daily using the APACHE II scale. FiO2, PO2, pH, and HCO3 levels were measured pre- and post-treatment. Data were analyzed using SPSS version 25.
Results: The post-treatment FiO2 in Group A increased from 48.80 ± 18.92% to 85.40 ± 13.69%, while PO2 increased from 66.40 ± 17.22 mmHg to 77.40 ± 15.08 mmHg. Statistically significant improvements were observed in oxygenation (p < 0.05), with no significant changes in pH and PCO2.
Conclusion: Postural drainage combined with mechanical ventilation significantly improves oxygenation in burn patients with ARDS.

Article Details

How to Cite
Sidra Afzal, Mishal Shamsi, Arida Mushtaq, Sara Aabroo, Noor Ul Huda, & Muhammad Ali Haider. (2024). Combined Effects of Mechanical Ventilation and Postural Drainage in Acute Respiratory Distress Syndrome: Mechanical Ventilation and Postural Drainage in ARDS. Journal of Health and Rehabilitation Research, 4(3), 1–6. https://doi.org/10.61919/jhrr.v4i3.1270
Issue
Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024
Section
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

References

Diamond M, Peniston HL, Sanghavi D, Mahapatra S, Doerr C. Acute Respiratory Distress Syndrome (Nursing). StatPearls. Treasure Island (FL): StatPearls Publishing

Copyright © 2022, StatPearls Publishing LLC.; 2022.

Sweeney RM, McAuley DF. Acute respiratory distress syndrome. The Lancet. 2016;388(10058):2416-30.

Diamond M, Peniston HL, Sanghavi D, Mahapatra S. Acute Respiratory Distress Syndrome. StatPearls. Treasure Island (FL): StatPearls Publishing

Copyright © 2022, StatPearls Publishing LLC.; 2022.

Rezoagli E, Fumagalli R, Bellani G. Definition and epidemiology of acute respiratory distress syndrome. Ann Transl Med. 2017;5(14):282-.

Saguil A, Fargo M. Acute respiratory distress syndrome: diagnosis and management. Am Fam Physician. 2012;85(4):352-8.

Tomashefski JF. PULMONARY PATHOLOGY OF ACUTE RESPIRATORY DISTRESS SYNDROME. Clinics in Chest Medicine. 2000;21(3):435-66.

Araz O. Current Pharmacological Approach to ARDS: The Place of Bosentan. Eurasian J Med. 2020;52(1):81-5.

Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, et al. The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material. Intensive Care Medicine. 2012;38(10):1573-82.

Force* TADT. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):2526-33.

Diamond M, Feliciano HLP, Sanghavi D, Mahapatra S. Acute respiratory distress syndrome. StatPearls [Internet]. 2021.

Bhadade R, de Souza R, Harde M, Khot A. Clinical characteristics and outcomes of patients with acute lung injury and ARDS. Journal of Postgraduate Medicine. 2011;57(4):286-90.

Fan E, Brodie D, Slutsky AS. Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment. Jama. 2018;319(7):698-710.

Sakka SG. Extravascular lung water in ARDS patients. Minerva Anestesiol. 2013;79(3):274-84.

Papazian L, Calfee CS, Chiumello D, Luyt C-E, Meyer NJ, Sekiguchi H, et al. Diagnostic workup for ARDS patients. Intensive Care Medicine. 2016;42(5):674-85.

Rubenfeld GD, Caldwell E, Granton J, Hudson LD, Matthay MA. Interobserver Variability in Applying a Radiographic Definition for ARDS. Chest. 1999;116(5):1347-53.

Lall R, Hamilton P, Young D, Hulme C, Hall P, Shah S, et al. A randomised controlled trial and cost-effectiveness analysis of high-frequency oscillatory ventilation against conventional artificial ventilation for adults with acute respiratory distress syndrome. The OSCAR (OSCillation in ARDS) study. Health Technol Assess. 2015;19(23):1-177, vii.

Russell JA, Walley KR. Introduction. In: Russell JA, Walley KR, editors. Acute Respiratory Distress Syndrome: A Comprehensive Clinical Approach. Cambridge: Cambridge University Press; 1999. p. 1-5.

Confalonieri M, Salton F, Fabiano F. Acute respiratory distress syndrome. Eur Respir Rev. 2017;26(144).

Matthay MA, Zemans RL, Zimmerman GA, Arabi YM, Beitler JR, Mercat A, et al. Acute respiratory distress syndrome. Nature Reviews Disease Primers. 2019;5(1):18.

Tomashefski JF. Pulmonary Pathology of the Adult Respiratory Distress Syndrome. Clinics in Chest Medicine. 1990;11(4):593-619.

Lavrentieva A. Critical care of burn patients. New approaches to old problems. Burns. 2016;42(1):13-9.

Dancey DR, Hayes J, Gomez M, Schouten D, Fish J, Peters W, et al. ARDS in patients with thermal injury. Intensive Care Med. 1999;25(11):1231-6.

Matthay MA, Zemans RL, Zimmerman GA, Arabi YM, Beitler JR, Mercat A, et al. Acute respiratory distress syndrome. Nat Rev Dis Primers. 2019;5(1):18.

Narendra DK, Hess DR, Sessler CN, Belete HM, Guntupalli KK, Khusid F, et al. Update in Management of Severe Hypoxemic Respiratory Failure. Chest. 2017;152(4):867-79.

Silva L, Garcia L, Oliveira B, Tanita M, Festti J, Cardoso L, et al. Acute respiratory distress syndrome in burn patients: incidence and risk factor analysis. Ann Burns Fire Disasters. 2016;29(3):178-82.

Stiller K. Physiotherapy in Intensive Care: An Updated Systematic Review. Chest. 2013;144(3):825-47.

Petersson J, Ax M, Frey J, Sánchez-Crespo A, Lindahl SG, Mure M. Positive end-expiratory pressure redistributes regional blood flow and ventilation differently in supine and prone humans. Anesthesiology. 2010;113(6):1361-9.

Vieillard-Baron A, Matthay M, Teboul JL, Bein T, Schultz M, Magder S, et al. Experts’ opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation. Intensive Care Medicine. 2016;42(5):739-49.

Jia X, Malhotra A, Saeed M, Mark RG, Talmor D. Risk Factors for ARDS in Patients Receiving Mechanical Ventilation for > 48 h. Chest. 2008;133(4):853-61.

Combes A, Hajage D, Capellier G, Demoule A, Lavoué S, Guervilly C, et al. Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome. N Engl J Med. 2018;378(21):1965-75.