PMID: 18721120Aug 30, 2008Paper

Oxygenation and static compliance is improved immediately after early manual hyperinflation following myocardial revascularisation: a randomised controlled trial

The Australian Journal of Physiotherapy
Clarissa BlattnerEduardo Saadi

Abstract

Are oxygenation and static compliance improved immediately after manual hyperinflation following myocardial revascularisation? Does this lead to earlier extubation and shorter hospital stay? Does it reduce postoperative pulmonary complications? Randomised controlled trial with concealed allocation, blinded assessment and intention-to-treat analysis. Fifty-five patients who underwent myocardial revascularisation. After an hour in recovery, the experimental group received manual hyperinflation with positive end expiratory pressure followed by suction while the control group received suction only. Oxygenation (PaO(2) in mmHg) and static lung compliance (in ml/cmH(2)O) were measured immediately after suction. Time to extubation (in minutes) and length of hospital stay (in days) were collected and postoperative pulmonary complications were confirmed by X-ray. PaO(2) was 11.7 mmHg (95% CI 9.4 to 14.0) greater in the experimental group while static compliance was 8.5 ml/cmH(2)0 (95% CI 6.4 to 10.6) greater than in the control group. The experimental group was extubated 76 minutes (95% CI 24 to 128) earlier than the control group but did not have a shorter length of stay (mean difference 0.5 days, 95% CI -0.2 to 1.2). The relative risk...Continue Reading

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Citations

Aug 9, 2011·Critical Care : the Official Journal of the Critical Care Forum·Frederique PaulusMarcus J Schultz
Aug 7, 2012·Critical Care : the Official Journal of the Critical Care Forum·Frederique PaulusMarcus J Schultz
May 8, 2014·Nursing in Critical Care·Frederique PaulusMarcus J SchuItz
Jul 26, 2011·Heart & Lung : the Journal of Critical Care·Luciano M ChicaybanFernando S Guimarães
Sep 18, 2018·Anesthesia and Analgesia·Maximilian S SchaeferTanja Astrid Meyer-Treschan
Sep 12, 2012·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Juliana Savini Wey BertiAna Lucia Anjos Ferreira

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