Vol. 4, Issue 6 (2017)
Effect of respiratory proprioceptive neuromuscular facilitation technique with chest physiotherapy in mechanically ventilated Organophosphorus poisoning patients
Author(s): Dr. Sneha S Chordiya, Dr. Atharuddin Kazi, Dr. Akshaya Shetty, Dr. Sambhaji Gunjal, Dr. Maria Lamuvel, Dr. Tejashree Bhoir
Abstract: Background: Organophosphorus (OP) compounds were first synthesized about one and half century back in France. Consumption of OP compounds for suicidal attempts are particularly high in agricultural families all over the world. OP toxicity occurs, soon after exposure but may be delayed, depending on the agent and route of entry. Objective: To determine the Effect of Respiratory PNF technique with Chest Physiotherapy in mechanically ventilated Organophosphorus poisoning patients. Materials and Methods: A Experimental comparative study was done. A total of 30 participants with OP poisoning in the age group of 15-85 years were included in the study. On 1st, 2nd and 3rd day static compliance, dynamic compliance, Minute ventilation, Heart Rate, Systolic Blood Pressure and Diastolic Blood Pressure were assessed. Group A received Chest Physiotherapy and Group B received Chest Physiotherapy and PNF technique. Intervention was given twice in a day, 3days and each session lasts for 15-30 minutes. Data was analyzed by Paired’ test and Mann Whitney u test. Results: There was highly significant difference in Static compliance (p=0.02), Dynamic compliance (p=0.01) and minute ventilation (p=0.01) while there was no significant difference in SPO2 (p=0.61), Heart Rate (p=0.94), Systolic Blood pressure (p=0.19) and Diastolic Blood pressure (p=0.41) values after 3 days of intervention. Conclusion: The study concluded that Chest Physiotherapy along with PNF technique in the management of mechanically ventilated patients with pulmonary complication proved efficient for preventing pulmonary complications, clearing the mucous secretions and better prognosis in patients with OP poisoning.