Abstract

Introduction: Ventilation is the essential part of life. The Intensive Care Unit (ICU) is a specialized department designed for patients with severe or life-threatening conditions, injuries or complications, offering focused management and care for these critical situation Patients on mechanical ventilation usually have larger amounts of pulmonary secretions due to impairment in mucociliary function and compromised mucus transport. Chest Proprioceptive Neuromuscular Facilitation (PNF) is one of the physiotherapy intervention in which proprioceptive and tactilestimuli are given externally to the patient, which produces reflex movement responses of respiration andregulate breathing. Aim: To examine the effectiveness of Perioral Stimulation, Vertebral Pressure, Abdominal Co-Contraction, and Manual Pressure when combined with Chest Physiotherapy compared to Chest Physiotherapy alone and their efficacy in optimizing the weaning process for patients on SIMV mode Procedure: A Randomized control Trial, single-blinded study was carried on 26 participants from Intensive Care Unit. They were then divided into two groups. In Group A participants were treated by PNF and chest physiotherapy and in Group B with chest physiotherapy alone. The interventions were given twice a day for 5 days. The effects on ventilatory parameters (Dynamic Compliance, HR, SpO2, RR, FiO2) were measured and compared from baseline day 1 to day 5. Result: Post-intervention, there was Improvement in Dynamic Lung Compliance, Saturation of Oxygen, Heart Rate, Respiratory Rate, Fraction of Inspired Oxygen in both groups but on Comparing overall improvement, Group A was more effective than Group B. Conclusion: The present study concludes that Perioral Stimulation, Vertebral Pressure, Abdominal Co-Contraction, and Manual Pressure with chest Physiotherapy are better and effective in improving Dynamic pulmonary compliance, saturation of oxygen, and reduction of Heart Rate, Respiratory Rate and FiO2 and lead to early weaning of patients.

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