List

ABSTRACT

Back ground and objectives: Organophosphates (OP) are used as insecticides in agricultural and domestic settings throughout the world. Acute organophosporous (OP) pesticide self- poisoning is a major global problem. Early recognition of respiratory failure, prompt endotracheal intubation and mechanical ventilation are life- saving measures in severe OP poisoning.  Patients with OP poisoning may have respiratory failure for many reasons, including aspiration of gastric contents, excessive secretions, pneumonia and septicemia complicating adult respiratory distress syndrome and thereby physical therapy may be indicated for patients in the intensive care setting.

Methods: A total of twenty patients ranging in age from 25-45 years, mechanically ventilated for respiratory muscle paralysis, due to organophosporous poisoning,  recruited from various ICU’s were included in the study. Effects of physiotherapy treatment were studied on static lung compliance (CST), oxygenation ratio (PaO2: FiO2 ratio) and partial pressure of carbon dioxide in arterial blood (PaCO2). Measurements of dependent variables were recorded (PRE) before commencement of treatment, 30 minutes and 60 minutes after treatment.

Results: Analysis of variance showed that there was highly significant improvement in CST mean values (p<0.01) and significant improvement in PaCO2 mean values (p<0.05). Comparing mean values with critical difference, significant critical difference was observed between mean values at PRE and Post-30, and between PRE and Post-60 time intervals (p<0.05) for CST, PaO2:FiO2 ratio and PaCO2, respectively.

Conclusion:Respiratory rehabilitation of patients with organophosporous poisoning can be effectively achieved with employment of various physiotherapeutic techniques including manual hyperinflation and bronchial hygiene therapy.

Keywords:Manual hyperinflation, organophosphorous poisoning, static lung compliance, mechanical ventilation.

  Posts

1 3 4 5 6
December 10th, 2019

Normative values of Moberg Pickup Test in Young Adults

Dhanalakshmi.M.R1 , Prashanth V Mangalvedhe2 , Jibi Paul3 Authors: 1 B.P.T. Graduate, JSS College of Physiotherapy, JSS Hospital Campus, Mysuru, […]

September 30th, 2019

E-Cigarettes practices among youths in a University population

ANNAMMA.K1, FIKRI HAFIZ.M2, NUR RAIHAN2 Corresponding Author: 1Research and Development coordinator, School of Nursing, KPJ Healthcare University College, Negeri Sembilan, […]

September 30th, 2019

Comparative analgesic effect of Isometric and Isotonic exercises on forearm extensors for lateral epicondylitis of elbow

<!– /* Font Definitions */ @font-face {font-family:”Cambria Math”; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:1; mso-generic-font-family:roman; […]

September 30th, 2019

Inter-rater and Intra-rater reliability between experience and non-experienced examiners on 90-90 active knee extension test using Goniometer among healthy college students

SITI NUR BAAIT BINTI MOHD SOKRAN1, ROGINI A/P PERIASAMY2, JIBI PAUL3 Corresponding Author: 1Lecturer, Department of Physiotherapy, School of Health […]

September 30th, 2019

A study to analyze the effects of global postural re-education method on pulmonary function and thoracic expansion in individuals with moderate chronic obstructive pulmonary disease

ISHWARYA VARDHINI C1, DENNIS ROBINSON2, JIBI PAUL3 Corresponding Author: 1Asst.Professor, Faculty of Physiotherapy,  Dr. MGR Educational and Research Institute, Dr.MGR. […]

September 5th, 2019

International Journal of Medical and Exercise Science (IJMAES) Issues on March, June, September and December months of every year

June 10th, 2019

Comparative study between static stretching and dynamic stretching on mechanical neck pain

JIBI PAUL1 , THENMOZHI S 2 Authors: 2 BPT Intern, Faculty of Physiotherapy, DR.MGR.Educational and Research Institute, Velappanchavadi, Chennai,India Corresponding […]

June 10th, 2019

Efficacy of selective trunk activity in improving trunk control in hemiplegic patients

MANJUNATHA. H 1 ,JIBI PAUL 2 ,MADAN MOHAN.M.R3 Corresponding Author: 1 Principal, East Point College of Physiotherapy, Jnana Prabha, Bidarahalli, […]

June 10th, 2019

An Analysis on the effect of Buteyko Breathing and relaxed postures over the chest exapnsion of asthmatic collegiate population- An experimental study

S. GLADIES KAMALAM1 , G. SRIVIDYA2 , J. ANDREWS MILTON3 Corresponding Author: 1 Associate Professor, Bethany Navajeevan College of Physiotherapy, […]

June 10th, 2019

An analytical study of Vo2 Max, resting heart rate, waist hip ratio and flexibility changes on combined effects of dynamic core stability exercises and stretching in middle aged overweight men population in Chennai

RADHAKRISHNAN. R1 , VENKATESAN. R 2 , KIRAN.V3 , SENTHIL. P4 , SHARMILA. K5 Corresponding Author: 1 Research scholar, Tamilnadu […]