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VOLUME 22 , ISSUE 2 ( 2018 ) > List of Articles

BRIEF COMMUNICATION

Immediate Effects of Acapella® on Dynamic Lung Compliance in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome: A Case Series

Priya Sharma, V Prem, Sakshee Jain

Keywords : Acapella®, acute respiratory distress syndrome, airways clearance technique, mechanical ventilation

Citation Information : Sharma P, Prem V, Jain S. Immediate Effects of Acapella® on Dynamic Lung Compliance in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome: A Case Series. Indian J Crit Care Med 2018; 22 (2):100-102.

DOI: 10.4103/ijccm.IJCCM_157_17

License: CC BY-ND 3.0

Published Online: 00-02-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and Aims: One potential complication of acute respiratory distress syndrome (ARDS) is reduced dynamic compliance, saturation for peripheral oxygenation (SpO2) and increased sputum in patients that are mechanically ventilated. Airway clearance technique is the treatment given for patients on mechanically ventilator with ARDS. The purpose of the case series is to know the immediate effects of Acapella® on dynamic lung compliance (Cdyn) in subject with ARDS. Subjects and Methods: Patients who are on ventilator for more than 48hrs were included in the study. Readings for Cdyn, SpO2were noted at baseline, immediately post treatment, 10, 20, 30 and 60minutes. Pre and post treatment sputum volume was also noted. Results: Five patients were included with age range of 25 to 75 years. Clinical improvement was seen immediately after treatment in Cdyn and SpO2. There was not much change in sputum volume. Conclusion: Acapella® increased the dynamic compliance of lungs and sputum clearance in mechanically ventilated ARDS patients.


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  1. Singh G, Gladdy G, Chandy TT, Sen N. Incidence and outcome of acute lung injury and acute respiratory distress syndrome in the surgical Intensive Care Unit. Indian J Crit Care Med 2014;18:659-65.
  2. Suh M, Heitkemper M, Smi CK. Chest physiotherapy on the respiratory mechanics and elimination of sputum in paralyzed and mechanically ventilated patients with acute lung injury: A pilot study. Asian Nurs Res (Korean Soc Nurs Sci) 2011;5:60-9.
  3. Konrad F, Schreiber T, Brecht-Kraus D, Georgieff M. Mucociliary transport in ICU patients. Chest 1994;105:237-41.
  4. Judson MA, Sahn SA. Mobilization of secretions in ICU patients. Respir Care 1994;39:213-26.
  5. Branson RD. Secretion management in the mechanically ventilated patient. Respir Care 2007;52:1328-42.
  6. Nunn JF. Effects of anaesthesia on respiration. Br J Anaesth 1990;65:54-62.
  7. Frownfelter DL, Dean E. Principles and Practice of Cardiopulmonary Physical Therapy. 3rd ed. St. Louis: Mosby; 1996.
  8. Frownfelter D. Chest physical therapy and airway care. In: Barnes TA, editor. Core Textbook of Respiratory Care Practice. 2nd ed. St. Louis: Mosby; 1994.
  9. Dean E, Ross J. Discordance between cardiopulmonary physiology and physical therapy. Toward a rational basis for practice. Chest 1992;101:1694-8.
  10. Myslinski MJ, Scanlan CL. Bronchial hygiene therapy. In: shelled DC, editor. Egan's Fundamental of Respiratory Care, 8th ed. St. Louis, Missouri: Mosby Publishers; 2003.p. 883-910.
  11. Hardy KA. A review of airway clearance: New techniques, indications, and recommendations. Respir Care 1994;39:440.
  12. Hardy KA, Anderson BD. Noninvasive clearance of airway secretions. Respir Care Clin N Am 1996;2:323-45.
  13. Volsko TA, DiFiore J, Chatburn RL. Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus flutter. Respir Care 2003;48:124-30.
  14. Tang J, Mandrusiak A, Russell T. The feasibility and validity of a remote pulse oximetry system for pulmonary rehabilitation: A pilot study. Int J Telemed Appl 2012;2012:798791.
  15. Abu-Rayan MA, Afifi MK, Othman HA, El-Ganady AA, Mikhael BN. Evaluation of the single and combined roles of positive expiratory pressure device and conventional multimodality chest physiotherapy in mechanically ventilated COPD patients. Bull Alex Fac Med 2009;45:355-64.
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