Comparative study between intrapulmonary percussive ventilation and conventional chest physiotherapy for the treatment of atelectasis in mechanically ventilated patients after severe chest trauma

Document Type : Review Article

Authors

1 Assistant Professor of cardio thoracic surgery, Faculty of Medicine, Benha University

2 Assistant Professor of Anesthesia and Intensive Care, Faculty of Medicine, Benha University

3 Lecturer of critical care, Faculty of Medicine, Benha University

4 (M.B.B.Ch, Faculty of Medicine, Menofia University)

5 Lecturer of chest diseases, Faculty of Medicine, Benha University

Abstract

Background: Atelectasis is a common pulmonary complication in mechanically ventilated patients, particularly following chest trauma, leading to significant morbidity. This study aims to compare the efficacy of intrapulmonary percussive ventilation (IPV) versus conventional chest physiotherapy (CPT) in improving pulmonary function in these patients. Methods: one hundred patients were randomized into two groups (50 patients in each group): IPV group, CPT group. A randomized and observational cohort studies that evaluated IPV and CPT for managing atelectasis in mechanically ventilated patients post-chest trauma. Data extraction and risk of bias assessment were performed according to Cochrane guidelines. Results: The analysis included that IPV demonstrated a significant reduction in PaCO2 levels (mean difference: -5.3 mmHg; p=0.02) and an increase in PaO2 (mean difference: +20.4 mmHg; p

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