Pulmonary expansion manoeuvres compared to usual care on ventilatory mechanics, oxygenation, length of mechanical ventilation and hospital stay, extubation, atelectasis, and mortality of patients in mechanical ventilation: A randomized clinical trial
Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compress...
Saved in:
| Published in | PloS one Vol. 18; no. 12; p. e0295775 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
11.12.2023
Public Library of Science (PLoS) |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0295775 |
Cover
| Abstract | Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. Methods: The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Results: Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH
2
O (95% CI: -0.36–7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 –-0.14), p = 0.027]. No differences were found in other outcomes. Conclusion: Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. |
|---|---|
| AbstractList | Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. Methods: The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Results: Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH.sub.2 O (95% CI: -0.36-7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 --0.14), p = 0.027]. No differences were found in other outcomes. Conclusion: Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. Methods: The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Results: Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH2O (95% CI: -0.36–7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 –-0.14), p = 0.027]. No differences were found in other outcomes. Conclusion: Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. Methods: The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Results: Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH 2 O (95% CI: -0.36–7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 –-0.14), p = 0.027]. No differences were found in other outcomes. Conclusion: Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation.Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation.To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation.OBJECTIVETo evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation.The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality.METHODSThe current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality.Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH2O (95% CI: -0.36-7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 --0.14), p = 0.027]. No differences were found in other outcomes.RESULTSFifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH2O (95% CI: -0.36-7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 --0.14), p = 0.027]. No differences were found in other outcomes.Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population.CONCLUSIONChest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH2O (95% CI: -0.36-7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 --0.14), p = 0.027]. No differences were found in other outcomes. Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided evidence supporting the use of this intervention among individuals on mechanical ventilation. Objective: To evaluate the effects of chest compression-decompression and chest block manoeuvres compared to usual care among patients on mechanical ventilation. Methods: The current study was a randomized clinical trial of adult subjects on mechanical ventilation for 12 to 48 hours. The control group received usual care (passive or active mobilization, manoeuvres for airway clearance and tracheal aspiration). The intervention group received usual care plus two lung expansion manoeuvres, i.e., chest decompression and chest block, while remaining on mechanical ventilation. Assessments were performed before and after usual care, immediately after the intervention and 30 minutes after the intervention. The primary outcome was static compliance. The secondary outcomes were the incidence of atelectasis, dynamic compliance, airway resistance, driving pressure, oxygenation, duration of mechanical ventilation, extubation success, length of hospital and ICU stay, and mortality. Results: Fifty-one participants (67±15 years old, 53% men, 26 in the control group and 25 in the intervention group) were evaluated. No differences in static compliance were observed between groups (intervention minus control) before and after expansion manoeuvres [3.64 ml/cmH 2 O (95% CI: -0.36–7.65, p = 0.074)]. Peripheral oxygen saturation differed between groups before and after expansion manoeuvres, with more favourable outcome observed in the control group [-1.04% (95% CI: -1.94 –-0.14), p = 0.027]. No differences were found in other outcomes. Conclusion: Chest compression-decompression and chest block manoeuvres did not improve ventilatory mechanics, the incidence of atelectasis, oxygenation, the duration of mechanical ventilation, the length of stay in the ICU and hospital, or mortality in individuals on mechanical ventilation. The findings of this study can be valuable for guiding evidence-based clinical practice and developing a therapeutic approach that provides real benefits for this population. |
| Audience | Academic |
| Author | Cabral, Leandro Ferracini Malaguti, Carla José, Anderson da Silva, Karina Oliveira, Cristino Carneiro |
| AuthorAffiliation | 1 Postgraduate Program in Rehabilitation Sciences and Physical Functional Performance, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil 2 Department of Cardiorespiratory and Musculoskeletal Physiotherapy, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil University of Texas Medical Branch at Galveston, UNITED STATES |
| AuthorAffiliation_xml | – name: University of Texas Medical Branch at Galveston, UNITED STATES – name: 1 Postgraduate Program in Rehabilitation Sciences and Physical Functional Performance, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil – name: 2 Department of Cardiorespiratory and Musculoskeletal Physiotherapy, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil |
| Author_xml | – sequence: 1 givenname: Karina surname: da Silva fullname: da Silva, Karina – sequence: 2 givenname: Cristino Carneiro orcidid: 0000-0001-6546-0225 surname: Oliveira fullname: Oliveira, Cristino Carneiro – sequence: 3 givenname: Leandro Ferracini orcidid: 0000-0002-6485-3964 surname: Cabral fullname: Cabral, Leandro Ferracini – sequence: 4 givenname: Carla surname: Malaguti fullname: Malaguti, Carla – sequence: 5 givenname: Anderson orcidid: 0000-0002-3611-0098 surname: José fullname: José, Anderson |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38079432$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNk9tq3DAQhk1JaQ7tG5RWUCgt7G4tWz7lpiyhh0AgpadboZXHuwqy5Eryku2j96rjrjdkQ1qKL2xJ3_-PZzRzHB0YayCKntJ4RtOCvrmyvTNCzzrcnsVJlRVF9iA6olWaTPMkTg9ufR9Gx95fxXGWlnn-KDpMy7ioWJocRb8-9bq1RrgNgetOGK-sIa0wFvq1A0-kbTvhoCbBkt73QhOJS4LQGkxQWgSL0hbkShgl_YTY680SjAjoMyEazDKsiG1uCDTYCYdIwtRkZX2nAh74IDYT_I3QL0a9CKBBBuEVOg9sax2SKmwGzw4p9PJEmb_4n5I5caizrfqJOUittkhwSujH0cNGaA9PxvdJ9O39u69nH6cXlx_Oz-YXU5lXaZg2eVwXCcsTluVNmZdxmYsUoMxomUrWlKyAOk4k0JIyViRVskgEExmLaVNnooD0JHq-9e209Xy8Ns_TeICrilIkzrdEbcUV75xq8T64FYr_2bBuyYULSmrgZcZY0zBZZ3XJMpksUgYFUIizuskqWqDX2zFav2ihllgMJ_Se6f6JUSu-tGtO44ImJWPo8Gp0cPZHDz7wVnkJWgsDtvc8qbDbUlZVA_riDnp_eiO1FJiBMo3FwHIw5XNs2iqnFcuRmt1D4VNDqyQ2eaNwf0_wek-ATMDmWYree37-5fP_s5ff99mXt9gVCB1W3up-aCi_Dz67XeqbGu-mC4HTLSCd9d5BwyU2-uCDqSmNJefDKO-KxodR5uMoo5jdEe_8_yn7DfbKVCQ |
| CitedBy_id | crossref_primary_10_3390_jpm14050451 |
| Cites_doi | 10.1136/bmj.c332 10.1016/S0004-9514(05)70050-7 10.1016/0021-9681(87)90171-8 10.1016/j.jtcvs.2018.05.004 10.1016/j.resp.2011.11.014 10.1164/rccm.200802-335OC 10.1016/S1779-0123(07)70397-2 10.14423/SMJ.0000000000000905 10.1016/j.chest.2018.11.014 10.5935/0103-507X.20190084 10.1183/09031936.00010206 10.1002/pri.1962 10.1378/chest.120.1.88 10.1136/bmj.g1687 10.1378/chest.08-0520 10.1007/s00134-014-3413-6 10.1001/jama.289.22.2983 10.1097/ACO.0b013e328011d7e5 10.5935/0103-507X.20190052 10.1590/S1413-35552012005000028 10.2310/8000.2013.131004 10.1002/pri.246 |
| ContentType | Journal Article |
| Copyright | Copyright: © 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. COPYRIGHT 2023 Public Library of Science 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2023 da Silva et al 2023 da Silva et al 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| Copyright_xml | – notice: Copyright: © 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. – notice: COPYRIGHT 2023 Public Library of Science – notice: 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2023 da Silva et al 2023 da Silva et al – notice: 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| DBID | AAYXX CITATION NPM IOV ISR 3V. 7QG 7QL 7QO 7RV 7SN 7SS 7T5 7TG 7TM 7U9 7X2 7X7 7XB 88E 8AO 8C1 8FD 8FE 8FG 8FH 8FI 8FJ 8FK ABJCF ABUWG AEUYN AFKRA ARAPS ATCPS AZQEC BBNVY BENPR BGLVJ BHPHI C1K CCPQU COVID D1I DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB. KB0 KL. L6V LK8 M0K M0S M1P M7N M7P M7S NAPCQ P5Z P62 P64 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS PTHSS PYCSY RC3 7X8 5PM DOA |
| DOI | 10.1371/journal.pone.0295775 |
| DatabaseName | CrossRef PubMed Gale In Context: Opposing Viewpoints Gale In Context: Science ProQuest Central (Corporate) Animal Behavior Abstracts Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts Nursing & Allied Health Database Ecology Abstracts Entomology Abstracts (Full archive) Immunology Abstracts Meteorological & Geoastrophysical Abstracts Nucleic Acids Abstracts Virology and AIDS Abstracts Agricultural Science Collection Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database (ProQuest) Technology Research Database ProQuest SciTech Collection ProQuest Technology Collection ProQuest Natural Science Journals Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Collection ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland Advanced Technologies & Aerospace Collection Agricultural & Environmental Science Collection ProQuest Central Essentials Biological Science Collection ProQuest Central Technology Collection Natural Science Collection Environmental Sciences and Pollution Management ProQuest One Coronavirus Research Database ProQuest Materials Science Collection ProQuest Central Korea Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Materials Science Database Nursing & Allied Health Database (Alumni Edition) Meteorological & Geoastrophysical Abstracts - Academic ProQuest Engineering Collection Biological Sciences Agriculture Science Database Health & Medical Collection (Alumni) Medical Database Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database (ProQuest) Engineering Database Nursing & Allied Health Premium Advanced Technologies & Aerospace Database ProQuest Advanced Technologies & Aerospace Collection Biotechnology and BioEngineering Abstracts Environmental Science Database Materials Science Collection ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Applied & Life Sciences ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China Engineering Collection Environmental Science Collection Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed Agricultural Science Database Publicly Available Content Database ProQuest Central Student ProQuest Advanced Technologies & Aerospace Collection ProQuest Central Essentials Nucleic Acids Abstracts SciTech Premium Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest One Applied & Life Sciences ProQuest One Sustainability Health Research Premium Collection Meteorological & Geoastrophysical Abstracts Natural Science Collection Health & Medical Research Collection Biological Science Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Engineering Collection Advanced Technologies & Aerospace Collection Engineering Database Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition Agricultural Science Collection Coronavirus Research Database ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) Biological Science Database Ecology Abstracts ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Environmental Science Collection Entomology Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Environmental Science Database ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Meteorological & Geoastrophysical Abstracts - Academic ProQuest One Academic (New) Technology Collection Technology Research Database ProQuest One Academic Middle East (New) Materials Science Collection ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Central ProQuest Health & Medical Research Collection Genetics Abstracts ProQuest Engineering Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Agricultural & Environmental Science Collection AIDS and Cancer Research Abstracts Materials Science Database ProQuest Materials Science Collection ProQuest Public Health ProQuest Nursing & Allied Health Source ProQuest SciTech Collection Advanced Technologies & Aerospace Database ProQuest Medical Library Animal Behavior Abstracts Materials Science & Engineering Collection Immunology Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Agricultural Science Database CrossRef MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 8FG name: ProQuest Technology Collection url: https://search.proquest.com/technologycollection1 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Sciences (General) |
| DocumentTitleAlternate | Pulmonary expansion manoeuvres of patients in mechanical ventilation |
| EISSN | 1932-6203 |
| ExternalDocumentID | 3072929911 oai_doaj_org_article_8544ff4cd5d845c2b34e7e1e05df5917 PMC10712844 A775961946 38079432 10_1371_journal_pone_0295775 |
| Genre | Journal Article |
| GeographicLocations | Brazil |
| GeographicLocations_xml | – name: Brazil |
| GroupedDBID | --- 123 29O 2WC 53G 5VS 7RV 7X2 7X7 7XC 88E 8AO 8C1 8CJ 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ AAUCC AAWOE AAYXX ABDBF ABIVO ABJCF ABUWG ACGFO ACIHN ACIWK ACPRK ACUHS ADBBV AEAQA AENEX AEUYN AFKRA AFPKN AFRAH AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS APEBS ARAPS ATCPS BAWUL BBNVY BCNDV BENPR BGLVJ BHPHI BKEYQ BPHCQ BVXVI BWKFM CCPQU CITATION CS3 D1I D1J D1K DIK DU5 E3Z EAP EAS EBD EMOBN ESX EX3 F5P FPL FYUFA GROUPED_DOAJ GX1 HCIFZ HH5 HMCUK HYE IAO IEA IGS IHR IHW INH INR IOV IPY ISE ISR ITC K6- KB. KQ8 L6V LK5 LK8 M0K M1P M48 M7P M7R M7S M~E NAPCQ O5R O5S OK1 OVT P2P P62 PATMY PDBOC PHGZM PHGZT PIMPY PQQKQ PROAC PSQYO PTHSS PV9 PYCSY RNS RPM RZL SV3 TR2 UKHRP WOQ WOW ~02 ~KM 3V. ADRAZ BBORY IPNFZ NPM RIG PMFND 7QG 7QL 7QO 7SN 7SS 7T5 7TG 7TM 7U9 7XB 8FD 8FK AZQEC C1K COVID DWQXO FR3 GNUQQ H94 K9. KL. M7N P64 PJZUB PKEHL PPXIY PQEST PQGLB PQUKI PRINS RC3 7X8 ESTFP PUEGO 5PM |
| ID | FETCH-LOGICAL-c693t-f60d72462456f868086a3ee85183c4f847ed02ce181447292b2a4a5401fd5a7e3 |
| IEDL.DBID | M48 |
| ISSN | 1932-6203 |
| IngestDate | Thu Nov 28 02:59:15 EST 2024 Wed Aug 27 01:26:03 EDT 2025 Thu Aug 21 18:35:45 EDT 2025 Fri Sep 05 09:31:50 EDT 2025 Fri Jul 25 10:25:57 EDT 2025 Tue Jun 17 22:21:07 EDT 2025 Tue Jun 10 21:19:34 EDT 2025 Fri Jun 27 06:07:26 EDT 2025 Fri Jun 27 06:00:56 EDT 2025 Thu May 22 21:23:33 EDT 2025 Wed Feb 19 02:08:09 EST 2025 Tue Jul 01 01:02:41 EDT 2025 Thu Apr 24 23:07:51 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 12 |
| Language | English |
| License | Copyright: © 2023 da Silva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Creative Commons Attribution License |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c693t-f60d72462456f868086a3ee85183c4f847ed02ce181447292b2a4a5401fd5a7e3 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Undefined-1 content type line 23 Competing Interests: The authors have declared that no competing interests exist. |
| ORCID | 0000-0002-3611-0098 0000-0001-6546-0225 0000-0002-6485-3964 |
| OpenAccessLink | https://www.proquest.com/docview/3072929911?pq-origsite=%requestingapplication% |
| PMID | 38079432 |
| PQID | 3072929911 |
| PQPubID | 1436336 |
| PageCount | e0295775 |
| ParticipantIDs | plos_journals_3072929911 doaj_primary_oai_doaj_org_article_8544ff4cd5d845c2b34e7e1e05df5917 pubmedcentral_primary_oai_pubmedcentral_nih_gov_10712844 proquest_miscellaneous_2902934994 proquest_journals_3072929911 gale_infotracmisc_A775961946 gale_infotracacademiconefile_A775961946 gale_incontextgauss_ISR_A775961946 gale_incontextgauss_IOV_A775961946 gale_healthsolutions_A775961946 pubmed_primary_38079432 crossref_citationtrail_10_1371_journal_pone_0295775 crossref_primary_10_1371_journal_pone_0295775 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2023-12-11 |
| PublicationDateYYYYMMDD | 2023-12-11 |
| PublicationDate_xml | – month: 12 year: 2023 text: 2023-12-11 day: 11 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: San Francisco – name: San Francisco, CA USA |
| PublicationTitle | PloS one |
| PublicationTitleAlternate | PLoS One |
| PublicationYear | 2023 |
| Publisher | Public Library of Science Public Library of Science (PLoS) |
| Publisher_xml | – name: Public Library of Science – name: Public Library of Science (PLoS) |
| References | TC Hoffmann (pone.0295775.ref022) 2014; 348 JM Walter (pone.0295775.ref025) 2018; 111 YH Chen (pone.0295775.ref007) 2016 C Casanova (pone.0295775.ref034) 2008; 134 E Nozawa (pone.0295775.ref020) 2008; 15 FB Paes (pone.0295775.ref015) 2015; 3 DG Peroni (pone.0295775.ref003) 2000; 1 WR Henderson (pone.0295775.ref005) 2012; 180 EE Aquim (pone.0295775.ref026) 2019; 31 JM Boles (pone.0295775.ref032) 2007; 29 ARP Ambrozin (pone.0295775.ref012) 2010; 14 CONSORT Group (pone.0295775.ref021) 2010; 340 SK Martello (pone.0295775.ref014) 2020; 5 MC Miura (pone.0295775.ref001) 2018; 156 ALL Cordeiro (pone.0295775.ref008) 2019; 34 T Unoki (pone.0295775.ref017) 2014; 50 LM Chicayban (pone.0295775.ref010) 2019; 31 R Green (pone.0295775.ref023) 2014; 16 EA Suzumura (pone.0295775.ref006) 2014; 40 E Fan (pone.0295775.ref011) 2008; 178 S. Herry (pone.0295775.ref018) 2007; 7 FD Via (pone.0295775.ref013) 2012; 16 ME Charlson (pone.0295775.ref031) 1987; 40 LC Pereira (pone.0295775.ref019) 2015 E Ely (pone.0295775.ref027) 2003; 289 KO Hadeli (pone.0295775.ref033) 2001; 120 N Ciesla (pone.0295775.ref028) 2011 JJ Marini (pone.0295775.ref004) 2019; 155 JS Choi (pone.0295775.ref024) 2005; 51 G Poxtiaux (pone.0295775.ref029) 1992; 19 American Association for Respiratory Care (pone.0295775.ref030) 2010; 55 S Berney (pone.0295775.ref009) 2002; 7 KF Biarzi (pone.0295775.ref016) 2022 M Duggan (pone.0295775.ref002) 2007; 20 |
| References_xml | – volume: 14 start-page: 91 issue: 2 year: 2010 ident: pone.0295775.ref012 article-title: Influence of the abrupt decompression maneuver in neurological patients publication-title: Ensaios e Ciência – start-page: 5624315 year: 2016 ident: pone.0295775.ref007 article-title: Effects of Lung Expansion Therapy on Lung Function in Patients with Prolonged Mechanical Ventilation publication-title: Can Respir J – volume: 340 start-page: c332 year: 2010 ident: pone.0295775.ref021 article-title: CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials publication-title: BMJ doi: 10.1136/bmj.c332 – start-page: 490326 year: 2015 ident: pone.0295775.ref019 article-title: Thoracic block technique associated with positive end-expiratory pressure in reversing atelectasis publication-title: Case Rep Pediatr – volume: 3 start-page: 12 issue: 1 year: 2015 ident: pone.0295775.ref015 article-title: Compression-descompression maneuver to analyze the current volume of patients on mechanical ventilation publication-title: Revista Educação em Saúde – volume: 51 start-page: 25 issue: 1 year: 2005 ident: pone.0295775.ref024 article-title: Effects of manual hyperinflation and suctioning on respiratory mechanics in mechanically ventilated patients with ventilator-associated pneumonia publication-title: Aust J Physiother doi: 10.1016/S0004-9514(05)70050-7 – volume: 40 start-page: 373 issue: 5 year: 1987 ident: pone.0295775.ref031 article-title: A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation publication-title: J Chronic Dis doi: 10.1016/0021-9681(87)90171-8 – volume: 156 start-page: 2170 issue: 6 year: 2018 ident: pone.0295775.ref001 article-title: The effects of recruitment maneuver during noninvasive ventilation after coronary bypass grafting: A randomized trial publication-title: J Thorac Cardiovasc Surg doi: 10.1016/j.jtcvs.2018.05.004 – volume: 50 start-page: 1430 issue: 11 year: 2014 ident: pone.0295775.ref017 article-title: Effects of expiratory rib-cage compression on oxygenation, ventilation, and airway-secretion removal in patients receiving mechanical ventilation publication-title: Respir Care – volume: 55 start-page: 758 issue: 6 year: 2010 ident: pone.0295775.ref030 article-title: AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010 publication-title: Respir Care – volume: 180 start-page: 162 issue: 2–3 year: 2012 ident: pone.0295775.ref005 article-title: Pulmonary mechanics during mechanical ventilation publication-title: Respir Physiol Neurobiol doi: 10.1016/j.resp.2011.11.014 – volume: 178 start-page: 1156 issue: 11 year: 2008 ident: pone.0295775.ref011 article-title: Recruitment maneuvers for acute lung injury: a systematic review publication-title: Am J Respir Crit Care Med doi: 10.1164/rccm.200802-335OC – start-page: 2632 issue: 50 year: 2011 ident: pone.0295775.ref028 article-title: Manual muscle testing: a method of measuring extremity muscle strength applied to critically ill patients publication-title: J Vis Exp – volume: 7 start-page: 30 issue: 65 year: 2007 ident: pone.0295775.ref018 article-title: Insufflatoire Technique de Levée d’Atélectasie (TILA) en réanimation néonatale publication-title: Kinésithérapie, La Revue doi: 10.1016/S1779-0123(07)70397-2 – volume: 111 start-page: 746 issue: 12 year: 2018 ident: pone.0295775.ref025 article-title: Invasive Mechanical Ventilation publication-title: South Med J doi: 10.14423/SMJ.0000000000000905 – volume: 1 start-page: 274 issue: 3 year: 2000 ident: pone.0295775.ref003 article-title: Atelectasis: mechanisms, diagnosis, and management publication-title: Paediatr Respir Rev – volume: 5 start-page: 276 issue: 1 year: 2020 ident: pone.0295775.ref014 article-title: Effects of manual hyperinflation maneuver followed by manual chest compression and decompression in oncological patients publication-title: J Health NPEPS – volume: 155 start-page: 1049 issue: 5 year: 2019 ident: pone.0295775.ref004 article-title: Acute Lobar Atelectasis publication-title: Chest doi: 10.1016/j.chest.2018.11.014 – volume: 19 start-page: 411 issue: 8 year: 1992 ident: pone.0295775.ref029 article-title: Acceleration of expiratory flow (AFE): where is fast (expiration technique FET) publication-title: Ann Kinéssithér – volume: 31 start-page: 434 issue: 4 year: 2019 ident: pone.0295775.ref026 article-title: Brazilian Guidelines for Early Mobilization in Intensive Care Unit publication-title: Rev Bras Ter Intensiva doi: 10.5935/0103-507X.20190084 – volume: 29 start-page: 1033 year: 2007 ident: pone.0295775.ref032 article-title: Weaning from mechanical ventilation publication-title: Eur Respir J doi: 10.1183/09031936.00010206 – start-page: e1962 year: 2022 ident: pone.0295775.ref016 article-title: Immediate and long‐term effects of manual chest compression and decompression maneuver on patients receiving invasive mechanical ventilation publication-title: Physiother Res Int doi: 10.1002/pri.1962 – volume: 120 start-page: 88 issue: 1 year: 2001 ident: pone.0295775.ref033 article-title: Predictors of oxygen desaturation during submaximal exercise in 8,000 patients publication-title: Chest doi: 10.1378/chest.120.1.88 – volume: 348 start-page: g1687 year: 2014 ident: pone.0295775.ref022 article-title: Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide publication-title: BMJ doi: 10.1136/bmj.g1687 – volume: 134 start-page: 746 issue: 4 year: 2008 ident: pone.0295775.ref034 article-title: Distance and oxygen desaturation during the 6-min walk test as predictors of long-term mortality in patients with COPD publication-title: Chest doi: 10.1378/chest.08-0520 – volume: 40 start-page: 1227 issue: 9 year: 2014 ident: pone.0295775.ref006 article-title: Effects of alveolar recruitment maneuvers on clinical outcomes in patients with acute respiratory distress syndrome: a systematic review and meta-analysis publication-title: Intensive Care Med doi: 10.1007/s00134-014-3413-6 – volume: 289 start-page: 2983 issue: 22 year: 2003 ident: pone.0295775.ref027 article-title: Monitoring Sedation Status Over Time in ICU Patients: Reliability and Validity of the Richmond Agitation-Sedation Scale (RASS) publication-title: JAMA doi: 10.1001/jama.289.22.2983 – volume: 20 start-page: 37 issue: 1 year: 2007 ident: pone.0295775.ref002 article-title: Atelectasis in the perioperative patient publication-title: Curr Opin Anaesthesiol doi: 10.1097/ACO.0b013e328011d7e5 – volume: 31 start-page: 289 issue: 3 year: 2019 ident: pone.0295775.ref010 article-title: Acute effects of ventilator hyperinflation with increased inspiratory time on respiratory mechanics: randomized crossover clinical trial publication-title: Rev Bras Ter Intensiva doi: 10.5935/0103-507X.20190052 – volume: 15 start-page: 177 issue: 2 year: 2008 ident: pone.0295775.ref020 article-title: A profile of Brazilian physical therapists in intensive care units publication-title: Fisioterapia e Pesquisa – volume: 16 start-page: 354 issue: 5 year: 2012 ident: pone.0295775.ref013 article-title: Effects of manual chest compression and decompression maneuver on lung volumes, capnography, and pulse oximetry in patients receiving mechanical ventilation publication-title: Braz J Phys Ther doi: 10.1590/S1413-35552012005000028 – volume: 34 start-page: 699 issue: 6 year: 2019 ident: pone.0295775.ref008 article-title: Impact of Lung Expansion Therapy Using Positive End-Expiratory Pressure in Mechanically Ventilated Patients Submitted to Coronary Artery Bypass Grafting publication-title: Braz J Cardiovasc Surg – volume: 16 start-page: 69 issue: 01 year: 2014 ident: pone.0295775.ref023 article-title: Incidence of postintubation hemodynamic instability associated with emergent intubations performed outside the operating room: a systematic review publication-title: CJEM doi: 10.2310/8000.2013.131004 – volume: 7 start-page: 100 issue: 2 year: 2002 ident: pone.0295775.ref009 article-title: A comparison of the effects of manual and ventilator hyperinflation on static lung compliance and sputum production in intubated and ventilated intensive care patients publication-title: Physiother Res Int doi: 10.1002/pri.246 |
| SSID | ssj0053866 |
| Score | 2.4403334 |
| Snippet | Pulmonary expansion manoeuvres are therapeutic techniques used to prevent and reverse atelectasis; however, no randomized controlled trials have provided... |
| SourceID | plos doaj pubmedcentral proquest gale pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | e0295775 |
| SubjectTerms | Anesthesia Artificial respiration Atelectasis Blood pressure Care and treatment Chest Clinical medicine Clinical trials Comparative analysis Compliance Compression CPR (First aid) Decompression Engineering and Technology Evidence-based medicine Expansion Extubation Hospital utilization Hospitals Intensive care Intervention Length of stay Maneuvers Mechanical ventilation Mechanics Mechanics (physics) Medical research Medicine and Health Sciences Medicine, Experimental Methods Mortality Muscle strength Oxygen content Oxygenation Patient outcomes Patients Physical Sciences Population studies Research and Analysis Methods Respiratory system Respiratory tract Thoracic surgery Ventilation Ventilators |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELbQnrggyquhBQxCAqSmTWznxW1BVAWJh4Ci3qKsH-xKu8mqSVCXn86JGceJNqioHLiux87GM2N_E4-_IeSpNLDLaxX5Bqk-heHcT2VW-BprW6DGjWXbf_8hPjkV786is61SX5gT1tEDdxN3lEZCGCOkilQqIslmXOhEhzqIlIkg1sDVN8iCPpjq1mDw4jh2F-V4Eh45vRyuq1IfBiyLEswr3NqILF__sCpP1suqvgxy_pk5ubUVHd8kNxyGpNPuv--Qa7q8RXacl9b0uaOSfnGb_PrULsHOivMN1Rfg9_hpjK6KstLtD4izaZ-BTpuKtnULg2ImGAUhmwa5tEfwdKXxevBC1ge0utiAxVltHlAswtLMaWUGCRig74hPKkpF564wCQUYujmAv9G0M9cfYC4eGhT1AkZG2ZWNBSAuwDEd42tNF-Vfxn9JpxS2WlWtFj_hHfpLntRWIrlDTo_ffH194rtqD76MM974Jg5UwkSMJ7EmxYogccG1BkSYcikM7KJaBUxqgCRCQEjAZqwQBQDO0KioSDS_SyYl6HeX0EzNmDIxQD0D6CVLIAbMuJJMssiISCmP8F71uXRU6FiRY5nb870EQqJOkzkaTO4MxiP-0GvdUYFcIf8KrWqQRSJv-wOYd-7MO7_KvD3yCG0y727FDstRPoUHZPgFKvbIEyuBZB4lZgt9L9q6zt9-_PYPQl8-j4SeOSFTwXTIwt3QgHdCkrCR5P5IEpYkOWreRQ_qZ6XOOfLTA_AJQ-jZe9XlzY-HZhwUMwBLXbV1zjKYVg7xufDIvc4Jh5nFogmZ4Mwj6cg9R1M_bikXc8ulHgLEBoQm7v8PZe2R6wwwMGY7heE-mTTnrX4AmLWZPbTL02-p2Zxo priority: 102 providerName: Directory of Open Access Journals – databaseName: ProQuest Technology Collection dbid: 8FG link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1Zj9MwELagvPCCWK7NsoBBSIC02W1i5-IFFURZkDgELNq3yPWxrdQmpUnQlp_OEzOuEzZoOV7rset4Dn9jj2cIeSgN7PJaRb7BVJ_cMOanMhO-xtoWyHFjs-2_fRcfHvE3x9GxO3CrXFhlaxOtoValxDPyA4YprsF2BsGz5Vcfq0bh7aoroXGRXApgp0E5T8evWksMuhzH7rkcS4IDx539ZVno_WGYRQlGF57ZjmzW_s42D5bzsjoPeP4eP3lmQxpfJVcckqSjDeu3yAVdXCNbTlcr-tgllH5ynfz40Mxh-mK1pvoUtB8PyOhCFKVuvoG3Tds4dFqXtKkaGBTjwSgQ2WDIub2IpwuNj4Rnstqj5eka5M7ydI9iKZZ6SkvTUcAAbUf8J1EoOnXlSSiA0fUeTKNuJq4_gF28OhDVDEZG2oX1CMA7wDFd3teKzoo_jP-UjihsuKpczL7DN7RPPamtR3KDHI1ffn5x6LuaD76MM1b7Jh6qJOQx3seaFOuCxIJpDbgwZZIb2Eu1GoZSAzDhHCViEgouAHYGRkUi0ewmGRTA321CMzUJlYkB8BnAMFkCnmDGlAxlGBkeKeUR1rI-ly4hOtblmOf2li8Bx2jDyRwFJncC4xG_67XcJAT5B_1zlKqOFtN52x_K1UnurEOeRjBJw6WKVMojGU4Y14kO9DBSJgKH2iP3UCbzzdvYzijlI_iDDM-hYo88sBSY0qPAmKET0VRV_vr9l_8g-vSxR_TIEZkSlkMK904DvglThfUod3uUYJhkr3kbNahdlSr_pcLQs9Wq85vvd804KMYBFrpsqjzMYFkZeOncI7c2StitLJZOyDgLPZL21LO39P2WYja1GdUDANqA0_jO3-d1m1wOAeNiNFMQ7JJBvWr0HcCk9eSuNTw_AY_Bk7I priority: 102 providerName: ProQuest |
| Title | Pulmonary expansion manoeuvres compared to usual care on ventilatory mechanics, oxygenation, length of mechanical ventilation and hospital stay, extubation, atelectasis, and mortality of patients in mechanical ventilation: A randomized clinical trial |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/38079432 https://www.proquest.com/docview/3072929911 https://www.proquest.com/docview/2902934994 https://pubmed.ncbi.nlm.nih.gov/PMC10712844 https://doaj.org/article/8544ff4cd5d845c2b34e7e1e05df5917 http://dx.doi.org/10.1371/journal.pone.0295775 |
| Volume | 18 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3db9MwELe27oUXxPhaYRSDkABpqRrb-UJCaJs2BtLGNBjqW5T6Y6vUJqNpUMufzhN3rhMRtIm95CE-X2L7zv6dfb4j5JU0sMprFXgGQ30Kw7kXyyTzNOa2wBE3Ntr-8Ul4dC4-D4PhGqlztroOLK817TCf1Pls0l_8WH4AhX9vszZEfl2pf1Xkuj9gSRBFwTrZgLUpRHPsWDTnCqDd9vQSUYsXsgF3l-lu4tJarGxM_2bm7lxNivI6WPqvd-Vfy9XhPXLX4Uy6uxKMTbKm8_tk02lySd-4cNNvH5Dfp9UEZDGbLalewNyA22d0muWFrn6CLU5rL3U6L2hVVsAUvcUoEFlXyYk9pqdTjVeIx7LcocViCVJpR3yHYqKW-SUtTEMBDOqK-KUsV_TSJS-hAFWXO_Ab82rk6gMUxoOFrBwDZ6Sd2qEC2wF5uqiwJR3nN_B_R3cpLMeqmI5_QRvqi6DUZit5SM4PD77tH3kuI4Qnw4TPPRMOVMREiKe1JsasIWHGtQbUGHMpDKy0Wg2Y1ABbhACzgY1YJjIApb5RQRZp_oh0chjfLUITNWLKhAAHDSCcJAI7MeFKMskCIwKluoTXQ59KFy4ds3ZMUnsGGIHZtBrJFAUmdQLTJV5T62oVLuQ_9HsoVQ0tBvu2L4rZRermjjQO4CeNkCpQsQgkG3GhI-3rQaBMAOZ2lzxHmUxXN2ebKSvdhQ8kuEsVdslLS4EBP3L0KLrIqrJMP335fguir2ctoteOyBTQHTJztzigTRhIrEW53aKEaUu2irdQg-peKVOOMewBHPk-1Ky16vriF00xMkUvwVwXVZmyBLqVgw0vuuTxSgmbnsXECongrEvilnq2ur5dko8vbbx1H2A4oDjx5NZtf0ruMADD6Pbk-9ukM59V-hmA1_moR9ajYQTPeN_H5-HHHtnYOzg5PevZ7aCena_-AAB4pMU |
| linkProvider | Scholars Portal |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1Lb9QwELZKOcAFUV5dKNQgECA17cZ2kg0SQsujaukDVFrUW8j60a60myybDXT5UfxATsx4ndCg8rj0Go_Hjj3-PGOPZwh5KA3s8loFnsFQn8Jw7nVknHoac1vgjBsbbX9nN9w4EG8Pg8M58r16C4NulRUmWqBWucQz8jWOIa4BO33_xeizh1mj8Ha1SqExE4stPf0KJlvxfPM1zO8jxtbf7L_a8FxWAU-GMZ94JmyriIkQb_xMBzNPhCnXGjSPDpfCAFpr1WZSw9YnBLbZY6lIQbHxjQrSSHPge4FcFHgyDusnOqwNPMCOMHTP83jkrzlpWB3lmV5tsziI0Jvx1PZnswTUe8H8aJAXZym6v_trntoA16-SK05zpd2ZqC2QOZ1dIwsOGwr6xAWwfnqd_HhfDmC40vGU6hNAGzyQo8M0y3X5Bax7Wvm900lOy6IEpuh_RoHIOl8O7MU_HWp8lNyXxQrNT6Yg51aGViimfpkc09zUFMCgqogtpZmixy4dCgXld7oC3ZiUPVcflGu8qkiLPnBG2qG1QMAaQZ4uzmxB-9kf-D-jXQobvMqH_W_wD9XTUmrzn9wgB-ciDTfJfAbzu0horHpMmRAUTAM6UxyB5RlzJZlkgRGBUi3Cq6lPpAvAjnlABom9VYzAEJvNZIICkziBaRGvrjWaBSD5B_1LlKqaFsOH2w_5-ChxaJR0AuikEVIFqiMCyXpc6Ej7uh0oE4AB3yLLKJPJ7C1uDYJJFxqI8dwrbJEHlgJDiGToo3SUlkWRbL77-B9EH_YaRI8dkclhOGTq3oXAP2FosgblUoMSgFA2ihdxBVWjUiS_IANqVqvq7OL7dTEyRb_DTOdlkbAYhpWLOBYtcmu2COuRxVQNseCsRTqN5dkY-mZJ1j-2Edx9UOxBLxS3_96vZXJpY39nO9ne3N26Qy4z0K_Rk8r3l8j8ZFzqu6APT3r3LAhR8um8Ue8nMGXOkQ |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELfGkBAviPG1wmAGgQCp2RrbSRokhApj2hiMCRjaW0j9sVVqk9I0sPKn8afxxJ3rhAWNj5e91udLap9__l18viPkvjSwy2sVeAZTfQrDudeVcepprG2BM25stv03u-HWvnh1EBwskO_VXRgMq6ww0QK1yiV-I1_nmOIasNP3140Li9jb2Hw2_uxhBSk8aa3KacxNZEfPvoL7Vjzd3oC5fsDY5ssPL7Y8V2HAk2HMp54JOypiIsTTP9PFKhRhyrUGFtLlUhhAbq06TGrYBoXA5_dZKlIgOb5RQRppDnrPkfMRB1YFayk6qJ09wJEwdFf1eOSvO8tYG-eZXuuwOIgwsvHEVmgrBtT7wuJ4mBenkd7fYzdPbIabl8klx2Jpb252S2RBZ1fIksOJgj5yyawfXyU_9sohDFc6mVF9DMiDH-foKM1yXX4BT59WMfB0mtOyKEEpxqJRELKBmEMbBEBHGi8oD2TRpvnxDGze2lObYhmY6RHNTS0BCqqO-KQ0U_TIlUahQIRnbXiNadl3_YFo47FFWgxAM8qOrDcCngnqdDlnCzrI_qD_Ce1R2OxVPhp8g_9QXTOlthbKNbJ_JtZwnSxmML_LhMaqz5QJgWwa4E9xBF5ozJVkkgVGBEq1CK-mPpEuGTvWBBkm9oQxAqdsPpMJGkziDKZFvLrXeJ6M5B_yz9GqallMJW5_yCeHiUOmpBvASxohVaC6IpCsz4WOtK87gTIBOPMtsoo2mczv5daAmPTgATF-Awtb5J6VwHQiGS7Mw7QsimT77cf_EHr_riH00AmZHIZDpu6OCPwnTFPWkFxpSAIoykbzMq6galSK5Bd8QM9qVZ3efLduRqUYg5jpvCwSFsOwchHHokVuzBdhPbJYtiEWnLVIt7E8G0PfbMkGRzabuw8kHziiuPn391olFwDvktfbuzu3yEUGVBuDqnx_hSxOJ6W-DdR42r9jMYiST2cNej8B5gTS0A |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Pulmonary+expansion+manoeuvres+compared+to+usual+care+on+ventilatory+mechanics%2C+oxygenation%2C+length+of+mechanical+ventilation+and+hospital+stay%2C+extubation%2C+atelectasis%2C+and+mortality+of+patients+in+mechanical+ventilation%3A+A+randomized+clinical+trial&rft.jtitle=PloS+one&rft.au=da+Silva%2C+Karina&rft.au=Oliveira%2C+Cristino+Carneiro&rft.au=Cabral%2C+Leandro+Ferracini&rft.au=Malaguti%2C+Carla&rft.date=2023-12-11&rft.pub=Public+Library+of+Science&rft.issn=1932-6203&rft.eissn=1932-6203&rft.volume=18&rft.issue=12&rft.spage=e0295775&rft_id=info:doi/10.1371%2Fjournal.pone.0295775&rft.externalDocID=A775961946 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon |