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Canadian Respiratory Journal
Volume 2016, Article ID 4752467, 5 pages
http://dx.doi.org/10.1155/2016/4752467
Clinical Study

What Is the Best Pulmonary Physiotherapy Method in ICU?

1Department of Anesthesiology and Reanimation, Faculty of Medicine, Erzincan University, 24100 Erzincan, Turkey
2Physiotherapy and Rehabilitation Clinic, Mengucek Gazi Education and Training Hospital, Erzincan, Turkey
3Department of Microbiology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
4Department of Internal Medicine, Faculty of Medicine, Erzincan University, Erzincan, Turkey
5Department of Anesthesiology and Reanimation, Faculty of Medicine, Mersin University, Mersin, Turkey

Received 11 January 2016; Revised 2 April 2016; Accepted 6 April 2016

Academic Editor: Lorenzo Spaggiari

Copyright © 2016 Ufuk Kuyrukluyildiz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Effects of high frequency chest wall oscillation technique were investigated on intubated ICU patients. Background. Thirty intubated patients were included in the study. The control group () received routine pulmonary rehabilitation technique. In addition to the pulmonary rehabilitation technique, the study group () was given high frequency chest wall oscillation (HFCWO). APACHE II, dry sputum weight, lung collapse index, and blood gas values were measured at 24th, 48th, and 72nd hours and endotracheal aspirate culture was studied at initial and 72nd hour. The days of ventilation and days in ICU were evaluated. Results. There is no significant difference between APACHE II scores of groups. The dry sputum weights increased in the study group at 72nd hour (). The lung collapse index decreased in study group at 48th () and 72nd hours (). The PO2 levels increased in the study group at 72nd hour (). The culture positivity at 72nd hour was decreased to 20%. The days of ventilation and staying in ICU did not differ between the groups. Conclusions. Although HFCWO is very expensive equipment, combined technique may prevent the development of lung atelectasis or hospital-acquired pneumonia more than routine pulmonary rehabilitation. It does not change intubated period and length of stay in ICU. However, more further controlled clinical studies are needed to use it in ICU.