Improved Extubation Outcome with Breathing Exercises during Spontaneous Breathing Trials with T-Tube/Pressure Support Ventilation, Decreased Pulmonary Complications in Thoracic Cancers: A Clinical Trial

Extubation outcomes during spontaneous breathing trial is better with T-Tube+Deep breathing exercises OR with Pressure support ventilation+Deep Breathing exercises and do breathing exercises help in preventing pulmonary complications?

a ran domized, prospective clinical trial.

40 mechanically ventilated patients with thoracic cancers in an adult intensive care unit.

Randomly the patients were assigned to undergo a trial of 2 hours of spontaneous breathing in one of two ways i.e. with a T-tube circuit+ breathing exercises and with pressure support ventilation + breathing exercises.

Successful extubation was considered if extubation was performed after the spontaneous breathing trial of 2 hours, and reintuba tion was not required within 48 hours of extubation. PaO₂, FiO₂, Positive end expiratory pressure, Glasgow coma scale, Hemoglobin, Temperature were recorded before starting the trial. Respiratory rate, Heart rate, Blood pressure, Tidal volume, PH, PaCo₂, PiMax, Oxygen saturation was noted during the trial. Chest expansion, Peak expiratory flow rate, Single breath count were also recorded.

One: the percentage of pa tients successfully extubated after spontaneous breathing trials was 15% higher with pressure support + Breathing Exercises. Two: Re intubation in the T-tube group was associated with a dramatic increase in mortality. Three: No patient developed any kind of pulmonary complications when extubated with pressure support.

Pressure support method can be preferred for extubation than T-tube method. The chances of pulmonary complications is significantly low when pressure support + deep breathing exercises is used