Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia. A randomized clinical trial
2010
Chest Physiotherapy and Ventilator-Associated Pneumonia Prevention
publication
Evidence: moderate
Author Information
Author(s): Pattanshetty Renu B., Gaude G. S.
Primary Institution: KLE Institute of Physiotherapy
Hypothesis
Does multimodality chest physiotherapy help in preventing ventilator-associated pneumonia (VAP)?
Conclusion
The study suggests that multimodality chest physiotherapy may help decrease mortality rates and prevent VAP.
Supporting Evidence
- CPIS score is useful for directing medical and antibiotic therapy.
- Impaired mucus transport in ventilated patients is linked to pneumonia.
- Semi-recumbent positioning is an important strategy for preventing VAP.
Takeaway
This study looks at how certain chest therapies can help keep patients on ventilators from getting pneumonia.
Methodology
The study was a randomized controlled trial with single blinding and random allocation of patients to two groups.
Potential Biases
The authors suspect no bias due to the study design.
Limitations
The study did not consider APACHE scores and microbiological results were not discussed.
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