Medicine and Health

Pulmonary expansion manoeuvres compared to usual care on ventilatory mechanics, oxygenation, length of mechanical ventilation and hospital stay, extubation, atelectasis, and mortality of patients in mechanical ventilation: A randomized clinical trial

K. D. Silva, C. Cristino, et al.

This randomized clinical trial explored the effectiveness of chest compression-decompression and chest block maneuvers in mechanically ventilated patients, revealing no significant benefits over usual care. Conducted by Karina Da Silva, Carneiro Cristino, Leandro Ferracini Oliveira, Carla Cabral, and Malaguti from the Federal University of Juiz de Fora and the University of Texas Medical Branch at Galveston, the study offers important insights into pulmonary care.

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Abstract

This randomized clinical trial investigated the effectiveness of chest compression-decompression and chest block manoeuvres, compared to usual care, in mechanically ventilated patients. Fifty-one participants were randomized; no significant differences were found in static compliance, the primary outcome. The control group showed more favorable oxygen saturation. Other secondary outcomes (atelectasis incidence, ventilation duration, hospital/ICU stay, extubation success, mortality) also showed no significant between-group differences. The study concludes that these pulmonary expansion manoeuvres do not offer significant benefit compared to usual care.

Publisher

PLOS ONE

Published On

Dec 11, 2023

Authors

Karina Da Silva, Carneiro Cristino, Leandro Ferracini Oliveira, Carla Cabral, Malaguti

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