FC is the most extreme type of blunt chest wall casualty with death rate up to 20%. These
patients may require prolonged days of mechanical ventilation for ongoing respiratory dysfunction, leading to high
rates of pulmonary complications. This study aimed to assess the impact of CPT on respiration, pain and quality of
life post thoracic wall fixation surgery in Flail Chest Patients. It followed a quasi-experimental, pretest-posttest
comparison. The study was carried out in cardiothoracic surgery intensive care unit (ICU) at Qena university
hospital. A convenience sample comprised of 30 adult patients from both sexes with flail chest and no contusion.
They were given pharmacological epidural and oral analgesic medications to reduce pain during physiotherapy
practice post chest stabilization surgery. Tool 1: A self-reporting Assessment Questionnaire were comprised pain
rating index scores pre and post CPT and prior epidural analgesic administration, and symptoms associated with pain,
Health-related quality of life and Dyspnea scale. Sociodemographic characteristics were attached to the tool 1. Tool 2: A
clinical data base assessment were taken pre and post CPT, included: Part I: Laboratory investigation of a
Standardized lung function tests which Forced Vital Capacity (FVC), Forced Expiratory Volume in one second
(FEV1) and Peak Expiratory Flow (PEF) were recorded and ABGs includes PaO2, PaCo2, SO2, and PH in addition
to vital signs ( Part II) and Diagnostic test assessment includes Chest x-ray, and chest tomography CT was done before
chest stabilization surgery to confirm the diagnosis in accordance of study criteria(Part III). Tool 3: CPT include,
breathing and coughing exercise and IPPB., secretion mobilization techniques like chest wall percussion, and vibration
and incentive spirometer. Results/conclusion: the majority of the studied sample was male and were from 50 - 60 years
and illiterate. The effect of CPT on the symptoms associated pain, and pain intensity were still persistent in decrease post
discharge at late follow up till 6th month. The majority of subjects had no dyspnea on 3rd and 6th month of follow up.
so, their HRQOL scores improved with a high significance in the area of mobility, self-care, anxiety and depression,
the performance of usual activities and pain and discomfort on 6 months of late follow-up. Also, it was noticed that
the mean of Pulmonary Function Test (PFT), and ABGs improved in the late follow-up. This improvement has been
definitively shown in all outcomes parameter post chest physiotherapy performed after surgical fixation of FC.
Recommendation: Moreover, this study recommended that all the physiotherapy approaches should be planned and
applied as an individual programs tailored to the FC patients following a comprehensive evaluation. |
