The Effect of Manual Hyperinflation and Suctioning in Mechanically Ventilated Patients

559 WordsJan 29, 20182 Pages
A study was conducted to assess the effect of manual hyperinflation and suctioning in mechanically ventilated patients to prevent the risk of ventilator associated pneumonia admitted in intensive care unit of selected hospital, Belgaum, Karnataka – A randomised control trial. Background and objective: Mechanically ventilated patients are increasingly at the risk of acquiring Ventilator-associated pneumonia (VAP) which is the leading infectious complication, affecting from 8% to 28% of patients admitted in the intensive care units. Morbidity and mortality associated with the development of VAP is high, with mortality rates ranging from 20 to 41%.Development of VAP increases ventilator days, critical care and hospital lengths of stay. Essential airway management is one of the important interventions to prevent ventilator associated pneumonia. Manual Hyperinflation (MH) enhances clearance of airway secretions and thereby improved lung compliance, reduced inspiratory resistance, improved V/Q matching, cleared airway and re-expanding the collapsed alveoli. MH could resemble a forceful cough, with which, sputum could propagate from distal to more proximal areas that is, from the smaller airways toward the larger airways, where it can be easily removed through endotracheal suctioning. Hence MH followed by suctioning is considered to be a suitable intervention to prevent VAP among intubated and mechanically ventilated patients. The objective of the study was to assess the effect

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