Sumbla Afzal, Ali Rafaqat, Ali Shaukat, Raheela Kanwal, Usman Iqbal Janjua.
Effectiveness of Manual Hyperinflation Therapy plus Postural Drainage and Suctioning To Prevent Ventilator Associated Complications.
Int J Rehab Sci Jan ;02(02):22-7.

Objectives: Aim of this study is to provide evidence based effectiveness of manual hyperinflation therapy plus postural drainage techniques followed by suctioning to prevent respiratory complications in intubated patients and gives much better prognosis than other techniques used during chest physical therapy. Methods: It’s an experimental study conducted on 30 patients for 6 months. Two Groups were selected, 15 patients in each group were compared. Group A received manual hyperinflation therapy plus postural drainage followed by suctioning per day 30 min session for 2 weeks, while group B received postural drainage followed by suctioning technique per day 30 min session for 2 weeks. The test was proved statistically by SPSS, applying t – test. (p=.001) With α = 0.05 and degree of freedom= 2. Results: Fraction of inspired oxygen (FIO2) and oxygen saturation (SPO2) were two variables that studied in this research in both groups showed improvement. Group A who received manual hyperinflation therapy plus postural drainage and suctioning shows 100% improvement in FIO2, while in group B 6 % of patients shows complete improvement in FIO2 .Improvement in SPO2 was calculated by pulse oximeter in which group A shows that 93 % of patients maintain SPO2 between the 97 %– 100% .SOP2 of group B shows that 60% of patients maintain oxygen saturation between 90%-96%. Conclusions: It is concluded that manual hyperinflation therapy along with postural drainage and suctioning is more effective than postural drainage and suctioning alone. Emphasize of this therapy is to maintain oxygen saturation , re-expand collapsed alveoli and initiate cough reflex in intubated patients, and decrease number of days in ICU due to respiratory complications.

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