Original Research Article
Year: 2020 | Month: November | Volume: 10 | Issue: 11 | Pages: 106-111
The Immediate Effect of Chest Manipulation and Neurophysiological Facilitation on Haemodynamic Parameters in Ventilator Dependent Organophosphorus Poisoning Patients
Sandesh P. Londhe1, Vishvnath S. Pawadshetty2, Pallavi Dagat3, Rohan Patil4
1Assistant Professor, 2Associate Professor, Department of Cardiovascular and Respiratory PT,
3Professor and Head, Department of Kinesiotherapy and Physical Diagnosis,
MIP College of Physiotherapy, Latur, Maharashtra, India.
4Consultant Physician, Department of Medicine, Shraddha Hospital, Barshi, Maharashtra, India
Corresponding Author: Sandesh P. Londhe
ABSTRACT
These organophosphorus agents traditionally known as nerve gas. Commit suicide by exposure to this is pesticides a key problem. Poisoning is the fourth most common cause of mortality in rural India. Clinical presentation of Organophosphorus exposure depends on the specific agent the quantity and the route of entry. Respiratory arrest can occur within 50 minutes of inhalation. Immediate attention to due airway and adequate oxygenation is essential. Frequent suctioning of the airway along with chest physiotherapy is usually necessary until the patient is recovered.
Aim: To determine the immediate effect of Chest Manipulation and Neurophysiological Facilitation on haemodynamic parameters in ventilator dependent organophosphorus poisoning patients.
Procedure: Data was collected from 28 Patients (male and female, within age group 18 to 45 years) with endotracheal tube in situ and ventilated within 48 hours. Data was obtained from ventilator readings. Values of Haemodynamic parameters were recorded pre interventionaly and the post-intervention reading was taken immediately, after half an hour, after 2 hours and after 4 hours from the ventilator and Pulse oximetry. 28 0rganophosphorous poisoning patients were equally divided into Groups A and B. The intervention was given for 2 Days once daily. Immediately after the intervention suctioning was done for both the Groups A and B.
Conclusion: A present study showed that Chest Manipulations helps to improve haemodynamic parameters on Day 1 as well as maintain the improvement in preinterventional readings on Day 2 and used as an early intervention in organophosphorus poisoning patients.
Key words: Chest Manipulation, organophosphorus poisoning patients, Neurophysiological Facilitation