passive chest mobilization exercise in upright position 30 times/set 3 set/day for 5 days Mechanical Ventilation Patients, Spontaneous Breathing Time, Dynamic Lung Compliance, Passive Chest Wall Mobilization
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. on mechanical ventilation > 72 hrs 2. age > 20 yers 3. start to weaning MV with CPAP or SIMV 4. Glasgow coma scale < 8
Exclusion criteria
Exclusion criteria: 1. unstable fracture of upper extremities 2. unstable vital sign (HR >120 mmHg, RR> 30 breathe/min, SpO2 <90%, SBP >140 mmHg or <90 / mmHg) 3. patients have restricive lung disease 4. APACHE II score <11 or > 20 5. not upright 4. limit shoulder ROM
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dynamic lung compliance (Cdyn) pre and post training Dynamic lung compliance were evaluated from mechanical ventilation then calculate from ∆V/W | — |
Secondary
| Measure | Time frame |
|---|---|
| Spontaneous breathing time every day until end of program Time in when patients breathe without ventilator | — |
Countries
Thailand
Contacts
Faculty of Medicine