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- W2779371129 abstract "Objective: Mechanical ventilator can be used as a tool for bronchial hygiene to prevent the adverse effects of the accumulation of secretions in patients admitted to the Intensive Care Unit. To optimize Ventilator Hyperinflation (VH), manual abdominal compression maneuvers can be applied, which prevents paradoxical distension of the abdominal and thoracic walls, increasing intra-abdominal pressure, together with coughing. The objective of this study was to evaluate the safety and effectiveness of bronchial hygiene technique using mechanical ventilator-assisted hyperinflation, associated or not to abdominal compression (AC), in critically ill patients under mechanical ventilation. Methods: Prospective randomized crossover study evaluating heart rate (HR), mean arterial pressure (MAP), saturation (SpO2), exhaled tidal volume (TVex), peak expiratory flow (PEF), static compliance and resistance of patients submitted to hyperinflation isolated and associated with abdominal compression. Results: 40 patients were studied, with no significant changes in HR, SpO2 and compliance after the two procedures (p>0.05). MAP increased 5 minutes after VH, returning to baseline after 15 minutes of the procedure (p = 0.0029). Airway resistance significantly decreased after the interventions (VH: p=0.0029; AC: p=0.0030). TVex and PFE increased during both protocols, with the highest value when applying AC (p Conclusion: VH, associated or not with AC, did not present significant cardiovascular repercussion neither changed oxygenation; AC increased the effectiveness of VH to decrease airway resistance." @default.
- W2779371129 created "2018-01-05" @default.
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- W2779371129 date "2017-09-01" @default.
- W2779371129 modified "2023-09-26" @default.
- W2779371129 title "Safety and effectiveness of ventilator hyperinflation, associated or not to manual abdominal compression, in critically ill patients under mechanical ventilation" @default.
- W2779371129 doi "https://doi.org/10.1183/1393003.congress-2017.pa2552" @default.
- W2779371129 hasPublicationYear "2017" @default.
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