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Acute Effects of Lung Expansion Maneuvers in Comatose Subjects With Prolonged Bed Rest.


ABSTRACT:

Background

Patients with decreased consciousness are prone to prolonged bed rest and respiratory complications. If effective in reducing atelectasis, lung expansion maneuvers could be used to prevent these complications. In comatose, bedridden subjects, we aimed to assess the acute effect on regional lung aeration of 2 lung expansion techniques: expiratory positive airway pressure and the breath-stacking maneuver. Our secondary aim was to evaluate the influence of these lung expansion techniques on regional ventilation distribution, regional ventilation kinetics, respiratory pattern, and cardiovascular system.

Methods

We enrolled 10 subjects status post neurosurgery, unable to follow commands, and with prolonged bed rest. All subjects were submitted to both expansion techniq

SUBMITTER: Morais CC 

PROVIDER: S-EPMC9994237 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature