Original Research Article
Year: 2018 | Month: July | Volume: 8 | Issue: 7 | Pages: 159-165
Cardiorespiratory Response to Chest Physiotherapy in Intensive Respiratory Care Unit
Mariya P Jiandani1, Akshita Patel2
1Associate Professor, Physiotherapy School & Centre, Seth GS Medical College and KEMH, Mumbai
2Clinical Respiratory Specialist. BMI Clementine Churchill Hospital, Sudbury Hill, London.
Corresponding Author: Mariya P Jiandani
ABSTRACT
Background: Physiotherapy intervention is regarded as an important component in the management of patient in intensive care unit. However, there are fears that chest physiotherapy results in adverse physiological changes with clinically significant alterations in hemodynamic and respiratory parameters. With contrasting studies regarding its threat to the hemodynamic stability in patients in intensive care unit, the study aims to evaluate the effect of chest physiotherapy on the cardiorespiratory variables in patients admitted in intensive respiratory care unit.
Methodology: 40 patients admitted in intensive respiratory care unit were included in this study. Pulse rate, respiratory rate, blood pressure, oxygen saturation was noted prior and immediately, at 5 minutes, 15 minutes and 30 minutes post chest physiotherapy. The patients were divided into two groups those with ventilatory support and those who were spontaneously breathing.
Results: Repeated measures ANOVA was applied using SPSS16 with a level of significance at p<0.05.A statistical significant rise was found in systolic blood pressure and heart rate in both groups immediately after chest physiotherapy. The values returned to baseline level within 15 minutes of therapy. No adverse changes were observed during or post 30 minutes of intervention. Rise in heart rate and blood pressure were well within the physiological range in both the groups. Oxygen saturation increased significantly in both the groups till 30 minutes after chest physiotherapy. A significant difference was obtained only in systolic blood pressure values between the two groups.
Conclusion: Chest physiotherapy can be safely administered to patients with acute pulmonary conditions in the intensive care unit with or without mechanical ventilation. The change in cardiorespiratory parameters is well within the physiological limit. Oxygen saturation remains significantly improved for 30 minutes post chest physiotherapy.
Key words: Haemodynamic, respiratory, chest physiotherapy, intensive care unit.