The role of chest physiotherapy on pulmonary outcome in patients with renal dysfunction Sankarganesh A.1, Senthilkumar T.2,*, Venketesh N.3, Soundararajan P.4 1M.P.T. Student, Department of Physiotherapy, Sri Ramachandra University, Chennai 2Assistant Professor, Faculty of Physiotherapy, Sri Ramachandra University, Chennai 3Professor, Faculty of Physiotherapy, Sri Ramachandra University, Chennai 4Professor, Department of Nephrology, Sri Ramachandra University, Chennai *Corresponding Author: T. Senthilkumar Assistant Professor, Faculty of Physiotherapy, Sri Ramachandra University Email: tsktill@gmail.com
Online published on 25 September, 2018. Abstract Introduction Chest physical therapy is used in the intensive care unit to minimize pulmonary complications. In patients on mechanical ventilators with renal dysfunction, metabolic dysfunction leads to secondary pulmonary deficits and the clinical outcome of chest physiotherapy are sparsely available. Hence, this study was taken up. Methods This was a prospective observational study done with Ethical clearance. Among 75 intubated patients screened during the study period, 30 eligible patients were included with due consent. The participants received the routine chest physiotherapy as per the referral. The changes in the oxygenation indices, renal parameters were noted and analyzed after data grouping based on oxygenation index. Results The improvement in PaO2, oxygenation index, (A-a) gradient was significant in ARDS group than other groups (P<0.05) whereas there was no significant improvement in renal functions (P>0.05, BUN-0.35, Creatinine-0.55). There was correlation between improvement in pulmonary and renal parameters was insignificant (P>0.05). Discussion The chest physiotherapy improved the pulmonary outcomes in renal dysfunction among ARDS group than patients with normal oxygenation indices, even though the renal parameters were worsening due to bronchial hygiene improvement. Physiologically physiotherapy could not influence renal parameters. Conclusions The chest physiotherapy improves the pulmonary outcome independent of changes in renal parameters among patients with renal dysfunction. Top Keywords Chest physiotherapy, Renal dysfunction, Oxygenation indices, Metabolic acidosis. Top |