الفهرس 
Title : Effect of manual hyperinflation with expiratory rib cage compression on weaning from mechanical ventilation
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Abstract
Background: The major goal in critical care is to wean patients from mechanical ventilation as early as possible to avoid the complications and associated with prolongedmechanical ventilation, including ventilator associated pneumonia, increased length of ICU, hospital stay, mortality rate and increased cost of care delivery. Objectives: To find out the effect of manual hyperinflation with expiratory rib cage compression on weaning from mechanical ventilation. Methods: study was carried out in the period starting from October 2018 till June 2019, on 40 patients both sexes (27 males&13 females) who were selected from Cairo university hospital (ICU unit for the internal hospital), all patient were randomly assigned to two equal groups (group A (control group) receiving traditional chest physiotherapy only(Modified postural drainage, percussion, manual vibration, upper extremity exercises and lower extremity exercises), group B (study group) receiving Manual hyperinflation with Expiratory rib cage compression and Traditional chest physiotherapy), their ages was ranged from (50-70) years, treatment was applied (30 minute) once per day for five days for each group of treatment. The Outcome Measures: Glasgow coma scale (GCS), Arterial blood gases (ABG), Rapid shallow breathing index (RSBI) and Murray score were measured before and after treatment