Comparison of manual hyperinflation technique and conventional chest physiotherapy treatment in case of ventilated pediatric patient

Objectives: to investigate the effect of manual hyperinflation (MH) in patients with atelectasis associated with ventilation support. Design: patients were randomized to either an experimental group or a control group. Setting: paediatric Intensive Care Unit (ICU) from Post Graduate Institute of Medical Education and Research. Patients: 30 paediatric patients with atelactasis associated with ventilation support. Interventions: The experimental group received Manual hyperinflation in a group of 6 to 10 inflation using 350 ml to 500 ml of reusable manual Ambu bag with conventional chest physiotherapy. The control group received only conventional chest physiotherapy. Results: there were significant improvements in the scores over the 7 day study in the experimental group compared to the control group in ABG and chest radiographs and a trend towards improvement of tidal volume (VT) and respiratory rate. Conclusion: MH performed on patients with atelectasis on ventilation support had significantly improved alveolar recruitment.