TY - JOUR
T1 - Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant
AU - Esguerra-Gonzales, Angeli
AU - Ilagan-Honorio, Monina
AU - Kehoe, Priscilla
AU - Fraschilla, Stephanie
AU - Lee, Ai Jin
AU - Madsen, Ashley
AU - Marcarian, Taline
AU - Mayol-Ngo, Kristina
AU - Miller, Pamela S.
AU - Onga, Jay
AU - Rodman, Betty
AU - Ross, David
AU - Shameem, Zeba
AU - Nandy, Karabi
AU - Toyama, Joy
AU - Sommer, Susan
AU - Tamonang, Cheryl
AU - Villamor, Filma
AU - Weigt, S. Samuel
AU - Gawlinski, Anna
N1 - Funding Information:
Grant support: Supported by grants from the American Association of Critical-Care Nurses, American Nurses Foundation, and Sigma Theta Tau International.
PY - 2014/2
Y1 - 2014/2
N2 - Purpose: The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. Background: Chest physiotherapy and HFCWO are routinely used after lung transplant to attenuate dyspnea, increase expiratory flow, and improve secretion clearance. Methods: In a two-group experimental, crossover design with repeated-measures, 45 lung transplant recipients (27 single, 18 bilateral; 64% male; mean age, 57years) were randomized to receive CPT at 10:00 AM and 2:00 PM followed by HFCWO at 6:00 PM and 10:00 PM (n=22) or vice versa (n=23) on postoperative day 3. Dyspnea (modified Borg score), Spo2/FiO2, and peak expiratory flow (PEF) were measured pre-treatment and post-treatment. Data were analyzed using chi-square tests, t tests, and linear mixed effects models. Results: There was no statistically significant treatment effect for dyspnea or PEF in patients who received HFCWO versus CPT. However, there was a significant treatment effect on the Spo2/FiO2 ratio (p<0.0001). Conclusions: Preliminary results suggest that lung function (measured by Spo2/FiO2) improves with HFWCO after lung transplantation. Although dyspnea and PEF did not differ significantly between treatment types, HFCWO may be an effective, feasible alternative to CPT.
AB - Purpose: The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. Background: Chest physiotherapy and HFCWO are routinely used after lung transplant to attenuate dyspnea, increase expiratory flow, and improve secretion clearance. Methods: In a two-group experimental, crossover design with repeated-measures, 45 lung transplant recipients (27 single, 18 bilateral; 64% male; mean age, 57years) were randomized to receive CPT at 10:00 AM and 2:00 PM followed by HFCWO at 6:00 PM and 10:00 PM (n=22) or vice versa (n=23) on postoperative day 3. Dyspnea (modified Borg score), Spo2/FiO2, and peak expiratory flow (PEF) were measured pre-treatment and post-treatment. Data were analyzed using chi-square tests, t tests, and linear mixed effects models. Results: There was no statistically significant treatment effect for dyspnea or PEF in patients who received HFCWO versus CPT. However, there was a significant treatment effect on the Spo2/FiO2 ratio (p<0.0001). Conclusions: Preliminary results suggest that lung function (measured by Spo2/FiO2) improves with HFWCO after lung transplantation. Although dyspnea and PEF did not differ significantly between treatment types, HFCWO may be an effective, feasible alternative to CPT.
KW - Chest physiotherapy
KW - High frequency chest wall oscillation
KW - Lung transplant
KW - Post-lung transplant
KW - Pulmonary hygiene
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U2 - 10.1016/j.apnr.2013.11.005
DO - 10.1016/j.apnr.2013.11.005
M3 - Article
C2 - 24387872
AN - SCOPUS:84892967586
SN - 0897-1897
VL - 27
SP - 59
EP - 66
JO - Applied Nursing Research
JF - Applied Nursing Research
IS - 1
ER -