الفهرس Only 14 pages are availabe for public view
 |  | from | 138 |  |  |
| | | from | 138 | | |
Abstract
Background and Purpose: This study was established to show the efficacy of manual hyperinflation (MHI) and suctioning on respiratory mechanics in mechanically ventilated patients in different positions. Methods: Fifty mechanically ventilated patients of both sexes were selected from Benha insurance hospital (intensive care unit), their age ranged from 30-65 years old with mean age (50.60±10.68) years. They were divided into three groups, group A formed of 20 patient were received MHI only in different positions, group B formed of 20 patients were received suction only in different positions and group C formed of 10 patient were received MHI with and without suction in different positions. All data of lung compliance was recorded before and after each procedure. Results: The results of this study achieved that there was significant (P< 0.05) increase in mean values of static lung compliance before and after applying MHI, but there was non significant (P>0.05) changes in mean values between different positions. Also there was non significant (P>0.05) change in mean values of static lung compliance before and after applying suction in different positions. There was significant improvement in mean values of static lung compliance after applying MHI plus suction in supine (19.06 %) and head down position (25.21 %) rather than applying MHI only. Conclusions: Applying manual hyperinflation MHI plus suction produced a significant improvement in static lung compliance with head down position rather than MHI alone and there was non significant improvement in static lung compliance after suction alone in different body positions. This study demonstrated that the use of MHI in addition to suction improved respiratory mechanics compared to suction alone or manual hyperinflation alone