Effectiveness of autogenic drainage Vs incentive spirometry in intensive care unit

Abstract

Background: Intensive Care Units are the most demanding place in hospital setup as they provide clear and fair information to patients and family. Physical therapy involves several techniques that plays significant role in intensive care unit, focusing on goals like recruit lung volume, improving ventilation perfusion, improving oxygenation, promoting secretion clearance. Studies has been conducted regarding effectiveness of Incentive spirometry and autogenic drainage but there was very low data regarding Comparison of Incentive spirometry and autogenic drainage. Objective: The aim of this study was to find the effectiveness of Incentive spirometry vs Autogenic Drainage in Intensive Care Unit. Methodology: This was an experimental study conducted in LIAQUAT NATIONAL HOSPITAL from MAY-NOV. Systematic sampling technique was used, single blinding was done. Samples were allocated into 2 groups. One group receiving autogenic drainage while other receiving incentive spirometry. Total number of 10 sessions were given to each group. Pulmonary function testing and ABGs were used as assessment tools, consent form was signed by participants. Data was analyzed using SPSS 22 Version. Result: The result of autogenic drainage measuring expiratory reserve volume showed that before autogenic drainage the mean of the group was 748+-182.8 and after session of 7 days there was significant increase of expiratory reserve volume as well which is 864+-207.9, Thus the result of this study showed that Autogenic Drainage was statically significant in improving expiratory reserve volume. Conclusion: Result of this study showed Autogenic Drainage was more effective than Incentive Spirometry in improving expiratory reserve volume. Apart from this, Physiotherapists should use these techniques more in ICUs for better results and to reduce mortality rate.