Background: Chest physical therapy plays an important role in increasing Pao2 and SaO2 among ICU patients which is considered as a good indicator for the general improvement of the patient besides decreasing ICU staying and costs.
Purpose: To figure out the effect of chest physical therapy on oxygen saturation and partial pressure of arterial oxygen.
Patients and Method: Thirty patients post MV, their age ranged from 50 to 60 years old were recruited in this study. The patients were selected from ICUs of Kasr al Ainy hospital, Faculty of Medicine, Cairo University. The patients received chest physiotherapy (percussion, vibration, manual hyperinflation), positioning and upper and lower limbs exercises.
Results: Increase in Pao2 and SaO2 in addition to decreased incidence of chest infection and decreased ICU stay.
Conclusion: The results of this study support the importance of chest physiotherapy on increasing SaO2 and Pao2, decrease ICU duration and decrease health care costs.

https://ejhm.journals.ekb.eg/article_10278_3e6b8bcaaff910fd61a0152429c5cbc2.pdf

Effect of Chest Physical Therapy Modalities on Oxygen Saturation and Partial Pressure of Arterial Oxygen in Mechanically Ventilated Patients

Background: SARS-CoV-2 virus lead to the start of pandemic in 2019. With the variation in COVID 19 symptom involving lungs its need for intensive treatment in a hospital setting is emerging. Even after recovery the patients need to be stabilized for their oxygen saturation and other vitals for which they need invasive mechanical ventilation and chest physiotherapy. Vibratory shaking technique is a form of physiotherapeutic maneuver which helps in stabilizing the vitals and maintaining spo2 when delivered by a trained therapist. Objectives: To find out the efficacy of vibratory shaking technique to improve Oxygen saturation and vitals in post COVID, ICU patients. Methods: The patients admitted in ICU after post COVID recovery were given with vibratory shaking technique to improve their oxygen saturation and respiratory rate. The pre and post test value showed significance. Result: Vibratory shaking technique was found to be effective in improving the vitals in post COVID, ICU patient. Conclusion: For post COVID patient’s chest physiotherapy i.e. vibratory shaking technique should play an important part for improving the vitals of patient who are still on ventilator.

Oana Laura Chis

Papers

The Benefits of the Respiratory Physiotherapy Program of the Intensive Care Unit's Mechanical Ventilated Patients