Vol. 5, Issue 4, Part F (2019)

Background and Objective: Depression of respiratory center and neural drive and excessive mucus secretion affect respiratory mechanics and leads to difficulty in mucus clearance and oxygen saturation. These are major problems in extubated mechanically ventilated Organophosphate compound Poisoning (OP) patients. It also affects the flow of air and patency of respiratory tract. Therefore the present study aims to compare Active Cycle of Breathing Technique (ACBT) vs Autogenic Drainage (AD) on extubated mechanically ventilated OP patients as assessed by Pulmonary Function and Oxygen Saturation and Sputum Volume.

Materials and Methods: A pre and post study was done and 30 patients mean age group of 20-65 years were included in the study. Group A received ACBT and Group B received AD. Pulmonary Function Test (FVC, FEV1, FEV1/FVC ratio and PEFR), Oxygen Saturation and Sputum volume were taken before and after intervention. The intervention was given twice in a day, 5 days in a week and each session lasts for 15-30 minutes. Data was analyzed by Paired and Unpaired t test.

Results: There was very significant difference (p<0.0001) in Pulmonary Function Test values in ACBT group, Sputum Volume in AD group and there was no significant difference in Oxygen Saturation after 5 days of intervention.

Conclusion: ACBT is more effective in improving pulmonary function and Autogenic Drainage AD is more effective in reducing sputum volume in extubated mechanically ventilated Organophosphate Compound poisoning patients.