Effect of deep breathing exercises and incentive spirometry on respiratory distress scoring in second degree inhalational burn patients.

  • Summiya Siddique Malik Foundation University Islamabad, Islamabad
  • Sadaf Saeed District Head Quarter Hospital, Abbottabad
  • Sumaira Kanwal Margalla Institute of Health Sciences, Rawalpindi
Keywords: Deep breathing exercises, Incentive spirometry, Burn patients

Abstract

Objective: Study was conducted for 6 months in PIMS Hospital Islamabad. Data was collected on self-structured Questionnaire, Respiratory distress scoring, Objective tools of Arterial blood gases and vital signs with signed consent.

Methodology: The subjects were randomly allocated in experimental and control groups. Baseline data was collected and re-collected on Day 0 and Day 7 respectively and assessed using non-probability convenient sampling technique. Both groups were given standard medical and nursing care.

Results: The experimental group was given single treatment regimen i.e. Deep breathing exercises (with 5-10 repetitions of each DBE being possible onto patient for 15-30 minutes twice daily). The control group was given 10-15 cycles of ISM with prior steam inhalation and nebulization with salbutamol for a period of 15-20 minutes for 35-45 minutes twice daily for a period of 07 days.

Conclusion: The experimental group results show that deep breathing exercises are significantly effective in improving post burn complications like pneumonia in patients suffering from second degree inhalation burns.

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References

Clark WR. Smoke inhalation: diagnosis and treatment. World J Surg 1992; 16:24–9. DOI: https://doi.org/10.1007/BF02067110

Barrow RE, Spies M, Barrow LN. and Herndon DN. Influence of demographics and inhalation injury on burn mortality in children. Burns 2004; 30:72–7. DOI: https://doi.org/10.1016/j.burns.2003.07.003

Edelman DA, White MT, Tyburski JG. And Wilson RF. Factors affecting prognosis of inhalation injury. J Burn Care Res 2006; 27:848–53. DOI: https://doi.org/10.1097/01.BCR.0000245493.26814.CE

Barrow RE, Przkora R, Hawkins HK, Barrow LN, Jeschke MG and Herndon DN. Mortality related to gender, age, sepsis, and ethnicity in severely burned children. Shock 2005; 23:485–7. DOI: 10.1097/01.shk.0000163207.29655.90

Hantson P, Butera R, Clemessy JL,Michel A and Baud FJ. Early complications and value of initial clinical and paraclinical observations in victims of smoke inhalation without burns. Chest 1997; 111: 671–5. DOI: https://doi.org/10.1378/chest.111.3.671

Darling GE, Keresteci MA, Ibanez D,Pugash RA, Peters WJ and Neligan PC. Pulmonary complications in inhalation injuries with associated cutaneous burn. J Trauma 1996; 40:83–9. DOI: https://doi.org/10.1097/00005373-199601000-00016

Shirani KZ, Pruitt BA and Mason AD. The influence of inhalation injury and pneumonia on burn mortality. Ann Surg 1987; 205:82–7. DOI: https://doi.org/10.1097/00000658-198701000-00015

Edelman DA, Khan N, Kempf K and White MT. Pneumonia after inhalation injury. J Burn Care Res 2007; 28:241–6. DOI: https://doi.org/10.1097/BCR.0B013E318031D049

Trunkey DD. Inhalation injury. SurgClin North Am 1978; 58:1133–40. DOI: https://doi.org/10.1016/S0039-6109(16)41681-6

Fein A, Leff A and Hopewell PC. Pathophysiology and management of the complications resulting from fire and the inhaled products of combustion: review of the literature. Crit Care Med 1980; 8:94–8. DOI: https://doi.org/10.1097/00003246-198002000-00008

Published
2019-07-21
How to Cite
1.
Malik S, Saeed S, Kanwal S. Effect of deep breathing exercises and incentive spirometry on respiratory distress scoring in second degree inhalational burn patients. JSTMU [Internet]. 21Jul.2019 [cited 25Apr.2024];2(1):13-6. Available from: https://j.stmu.edu.pk/ojs/index.php/jstmu/article/view/28