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01-12-2006 | Original

Intrapulmonary percussive ventilation in tracheostomized patients: a randomized controlled trial

Authors: Enrico M. Clini, Francesca Degli Antoni, Michele Vitacca, Ernesto Crisafulli, Mara Paneroni, Sheila Chezzi-Silva, Maurizio Moretti, Ludovico Trianni, Leonardo M. Fabbri

Published in: Intensive Care Medicine | Issue 12/2006

Abstract

Objective

To investigate whether the addition of intrapulmonary percussive ventilation to the usual chest physiotherapy improves gas exchange and lung mechanics in tracheostomized patients.

Design and setting

Randomized multicenter trial in two weaning centers in northern Italy.

Patients and participants

46 tracheostomized patients (age 70 ± 7 years, 28 men, arterial blood pH 7.436 ± 0.06, PaO₂/FIO₂ 238 ± 46) weaned from mechanical ventilation.

Interventions

Patients were assigned to two treatment groups performing chest physiotherapy (control), or percussive ventilation (IMP2 Breas, Sweden) 10 min twice/day in addition to chest physiotherapy (intervention).

Measurements and results

Arterial blood gases, PaO₂/FIO₂ ratio, and maximal expiratory pressure were assessed every 5th day for 15 day. Treatment complications that showed up in 1 month of follow-up were recorded. At 15 days the intervention group had a significantly better PaO₂/FIO₂ ratio and higher maximal expiratory pressure; after follow-up this group also had a lower incidence of pneumonia.

Conclusions

The addition of percussive ventilation to the usual chest physiotherapy regimen in tracheostomized patients improves gas exchange and expiratory muscle performance and reduces the incidence of pneumonia.

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Title: Intrapulmonary percussive ventilation in tracheostomized patients: a randomized controlled trial
Authors: Enrico M. Clini
Francesca Degli Antoni
Michele Vitacca
Ernesto Crisafulli
Mara Paneroni
Sheila Chezzi-Silva
Maurizio Moretti
Ludovico Trianni
Leonardo M. Fabbri
Publication date: 01-12-2006
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 12/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-006-0427-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intrapulmonary percussive ventilation in tracheostomized patients: a randomized controlled trial

Abstract

Objective

Design and setting

Patients and participants

Interventions

Measurements and results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design and setting

Patients and participants

Interventions

Measurements and results

Conclusions

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