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Effect of cough augmentation techniques on airway clearance of mechanically ventilated patients |
ElHadad HF, Ahmed SE, Elkalla RS, Diab SM |
Tanta Scientific Nursing Journal 2024 Aug;34(3):27-49 |
clinical trial |
This trial has not yet been rated. |
BACKGROUND: Mechanical ventilation is a form of life support for 90% of critically ill patients. AIM: To evaluate the effect of cough augmentation techniques on the airway clearance of a mechanically ventilated patient. SUBJECTS AND METHOD: DESIGN: Quasi-experimental study. SETTING: This study was conducted at Anesthesia Intensive Care Unit of Tanta Emergency Hospital. SUBJECTS: 60 cases divided into two groups 30 in each in the above previously mentioned setting. TOOLS: two tools were utilized in this research. Tool I: Mechanically Ventilated Patients Evaluation Sheet, Tool II: Patients' Hemodynamic Parameters Sheet. RESULTS: patients with a specific medical condition have a significant increase in respiratory rate, heart rate, systolic and diastolic blood pressure, and oxygen saturation after 25 minutes of intervention (p < 0.05). The study and control groups didnā??t show significant differences in temperature (p < 0.05). Mean pulmonary filtration rate (PH) didnā??t change significantly, but a significant decrease was observed in the third day only among the study group. CONCLUSION: The study found that cough augmentation techniques significantly improved airway clearance in mechanically ventilated patients, leading to increased hemodynamic stability, oxygen saturation, blood gas exchange, and breathing stability. RECOMMENDATION: The investigation suggests further multi-center studies and the use of cough augmentation techniques in managing secretions complaints in Intensive Care Units.
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