A deep look into the rib cage compression technique in mechanically ventilated patients: a narrative review

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dc.catalogadorgrr
dc.contributor.authorJalil Contreras, Yorschua Frederick
dc.contributor.authorDamiani, L. Felipe
dc.contributor.authorBasoalto, Roque
dc.contributor.authorBachmman, María Consuelo
dc.contributor.authorBruhn, Alejandro
dc.date.accessioned2024-10-21T18:28:07Z
dc.date.available2024-10-21T18:28:07Z
dc.date.issued2022
dc.description.abstractDefective management of secretions is one of the most frequent complications in invasive mechanically ventilated patients. Clearance of secretions through chest physiotherapy is a critical aspect of the treatment of these patients. Manual rib cage compression is one of the most practiced chest physiotherapy techniques in ventilated patients; however, its impact on clinical outcomes remains controversial due to methodological issues and poor understanding of its action. In this review, we present a detailed analysis of the physical principles involved in rib cage compression technique performance, as well as the physiological effects observed in experimental and clinical studies, which show that the use of brief and vigorous rib cage compression, based on increased expiratory flows (expiratory-inspiratory airflow difference of > 33L/minute), can improve mucus movement toward the glottis. On the other hand, the use of soft and gradual rib cage compression throughout the whole expiratory phase does not impact the expiratory flows, resulting in ineffective or undesired effects in some cases. More physiological studies are needed to understand the principles of the rib cage compression technique in ventilated humans. However, according to the evidence, rib cage compression has more potential benefits than risks, so its implementation should be promoted.
dc.fechaingreso.objetodigital2024-10-21
dc.fuente.origenScopus
dc.identifier.doi10.5935/0103-507X.20220012
dc.identifier.eissn19824335
dc.identifier.issn0103-507X
dc.identifier.pubmedid35766667
dc.identifier.scopusidSCOPUS_ID:85131513976
dc.identifier.urihttps://doi.org/10.5935/0103-507X.20220012-en
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88309
dc.information.autorucEscuela de Medicina; Jalil Contreras, Yorschua Frederick; 0000-0002-4993-7158; 1079709
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final184
dc.pagina.inicio176
dc.revistaRevista Brasileira de Terapia Intensiva
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCritical care
dc.subjectMucociliary clearance
dc.subjectPhysical therapy modalities
dc.subjectPressure
dc.subjectRespiration, artificial
dc.subjectRespiratory therapy
dc.subjectRib cage
dc.subjectModalidades de fisioterapia
dc.subjectRespiração artificial
dc.subjectCuidados intensivos
dc.subjectTerapia respiratória
dc.subjectDepuração mucociliar
dc.subjectCaixa toráxica
dc.subjectPressão
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA deep look into the rib cage compression technique in mechanically ventilated patients: a narrative review
dc.title.alternativeDesvendando a técnica de compressão torácica em pacientes em ventilação mecânica: uma revisão narrativa
dc.typeartículo de revisión
dc.volumen34
sipa.codpersvinculados1079709
sipa.trazabilidadSCOPUS;2022-07-08
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