Document Type : Original Article
Authors
1
1Master student, Critical Care and Emergency Nursing, Tanta University, Egypt. 2Clinical Instructor, Faculty of Nursing, Tanta University,Egypt.
2
Professor, Critical Care and Emergency Nursing Tanta University, Egypt.
3
Assistant professor, Anesthesia, Surgical ICU and Pain Management, Faculty of Medicine, Tanta University, Egypt
4
5Assistant professor, Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
Abstract
Background: Mechanical ventilation is a form of life support for 90% of critically ill patients.
Aim: To evaluate the effect of cough augmentation techniques on the airway clearance of a
mechanically ventilated patient. Subjects and Method: Design: Quasi- experimental study.
Setting: This study was conducted at Anesthesia Intensive Care Unit of Tanta Emergency
Hospital. Subjects: 60 cases divided into two groups 30 in each in the above previously
mentioned setting. Tools: two tools were utilized in this research. Tool I: Mechanically
Ventilated Patients Evaluation Sheet, Tool II: Patients' Hemodynamic Parameters Sheet.
Results: patients with a specific medical condition have a significant increase in respiratory rate,
heart rate, systolic and diastolic blood pressure, and oxygen saturation after 25 minutes of
intervention (p<0.05). The study and control groups didn‘t show significant differences in
temperature (p<0.05). Mean pulmonary filtration rate (PH) didn‘t change significantly, but a
significant decrease was observed in the third day only among the study group. Conclusion: The
study found that cough augmentation techniques significantly improved airway clearance in
mechanically ventilated patients, leading to increased hemodynamic stability, oxygen saturation,
blood gas exchange, and breathing stability. Recommendation: The investigation suggests
further multi-center studies and the use of cough augmentation techniques in managing
secretions complaints in Intensive Care Units.
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