Burn Patients
Conditions
Keywords
pO2, pCO2, pH, Rhonchi, Wheeze, Crackles, ISM, DBE
Brief summary
The purpose of the study was to find out the effectiveness of the Deep Breathing Exercises and Incentive Spirometry in Second degree inhalation Burn patients and to find out best effective method.It was a Randomized Control Trial performed on the patients of Pakistan Institute of Management Sciences hospital Islamabad for duration of 06 months after approval of synopsis.30 patients of second degree inhalation burns between the age of 20-50 years having good pre burn respiratory state and irrespective of gender discrimination who were currently on nasal cannula were randomly allocated in control and experimental groups.However all unconscious patients other than second degree inhalation burn and having comorbidities were excluded. The conventional treatment with steam inhalation and nebulization followed by Incentive spirometry with 10-15cycles and the treatment session lasts for 35-45 minutes for a period of 07 days with two sessions of this protocol were given to control group each day.For experimental group patients were made to perform different types of deep breathing exercises with 5-10 repetitions for a period of 07days with two sessions of this treatment protocol each day. Self structured questionnaires with informed consents were used to assess the data on day 00 and day 07 by Physiotherapist.The data was then analyzed using SPSS version 21.0.The results were then formulated using statistical analysis and then were arranged in different tables and graphs.
Detailed description
Objective: To find out the effectiveness of the Deep Breathing Exercises and Incentive Spirometry in Second degree inhalation Burn patients and to find out best effective method. Study Design:It is a Randomized Control Trial. Place and Duration of Study: Data was collected from Department of Burn, Pakistan Institute of Management Sciences hospital Islamabad, the study duration is 06 months after approval of synopsis. Methodology: A total of 30 Second degree inhalation burn patients were included. Inclusion criteria includes both genders of patients between the ages of 20 to 50 years,with good Pre-Burn respiratory state and currently on Nasal Cannula.They were then randomly allocated using lottery method in control and experimental groups. Exclusion criteria includes all unconscious patients other than second degree inhalation burn and with other comorbidities.The treatment protocol designed for control group involves conventional treatment with steam inhalation and nebulization followed by Incentive spirometry with 10-15 cycles,the treatment session lasts for 35-45 minutes for a period of 07 days with two sessions of this protocol each day.The treatment protocol for experimental group includes different types of deep breathing exercises with 5-10 repetitions for a period of 07days with two sessions of this treatment protocol each day.The data was collected through self-structured questionnaires containing 17 questions and each question has four options.Baseline data was collected on Day 00 and then on Day 07 data was recollected for comparison of both groups by Physiotherapist.
Interventions
OTHERPhysiotherapy
Chest physiotherapy in burn patients in order to treat and prevent post burn respiratory complications like pneumonia etc
Sponsors
Isra University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
There is no party who is masked
Intervention model description
Participants are assigned to one of two or more groups in parallel for the duration of the study
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* All the patients suffering from Second Degree inhalation Burn. * Both genders will be included with good Pre-Burn respiratory state. * All the patients after first surgical intervention, using mask and nasal cannulas, between the age of 20 - 50 years.
Exclusion criteria
* Patients suffering from other types of burns e.g. chemical etc. * All the unconscious patients/ventilator dependent patients. * All the patients with co-morbidities including COPD, Emphysema.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in values of Arterial Blood gases- pH | On day 01 and on day 07 | Standard values taken as pH= 7.34-7.35 |
| Changes in values of Arterial Blood Gases-pO2 | On day 01 and on day 07 | Standard values taken as pO2= 88-100 mmHg |
| Changes in values of Arterial Blood Gases- pCO2 | On day 01 and on day 07 | Standard values taken as pCO2= 45-55 mmHg |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pulse rate | On day 01 and on day 07 | Pulse rate per minute |
| Change in Respiratory rate | On day 01 and on day 07 | Respiratory rate per minute |
| Changes in Respiratory distress score(lag=0,normal=1, lead=2) | On day 01 and on day 07 | Chest movement, Intercostal retractions, Xiphoid retractions, Nasal flaring, Expiratory grunt |
| Change in SaO2 | On day 01 and on day 07 | Oxygen saturation in % |
| Change in Blood pressure | On day 01 and on day 07 | Blood pressure in mmHg |
| Change in Chest status/auscultation | On day 01 and on day 07 | Wheeze, Rhonchi, Crackles |
| Change in Vital signs | On day 01 and on day 07 | Temperature |
Countries
Pakistan
Outcome results
None listed