Effect of sensory stimulation on respiratory function of patients undergoing mechanical ventilation

authors:

avatar Mohsen Soleimani , avatar Saeid Heidari , avatar Farhad Malek , * , avatar Raheb Ghorbani ORCID

Koomesh: Vol.19, issue 2; 429-437
published online: July 06, 2017
article type: issue_documents_importer
received: September 01, 2016
accepted: December 06, 2016

how to cite: Soleimani M, Heidari S, Malek F, Ghorbani R. Effect of sensory stimulation on respiratory function of patients undergoing mechanical ventilation. koomesh. 2017;19(2):e151096. 

Abstract

Introduction: Improving the respiratory function of patients for weaning Mechanical Ventilation (MV) is one of the caring challenges in critical care settings. The aim of this study was to eamine the effect of sensory stimulation on respiratory function of patients with MV. Materials and Methods: This pilot study is a quasi-experimental study that performed on 30 patients undergoing MV which selected with available sampling in intensive care units in Kashan. After recording demographic parameters and physiologic variables, sensory stimulation program was performed for 25 minutes in the morning by companion of the patient. Then respiratory and physiologic parameters of patients were measured immediately and one hour after intervention. Results: Findings showed that mean age of patients were 57.1±19.5 years and mean of days for MV was 5.7±4.4 days. In the most of patients (66.6%) MV was used because of respiratory failure. Sensory stimulation was significantly increased respiratory rate, minute ventilation, heart rate, oxygen saturation and systolic blood pressure (P0.05). Notably, the respiratory and physiologic parameters were declined  one hour after the sensory stimulation. Conclusion:  Sensory stimulation could be use for driving respiratory center in patients undergoing MV but did not affect on weaning indices. We suggested more study to evaluation the sensory stimulation on preparation of patients with MV for weaning in a long time

References

  • 1.

    Arcentales A, Caminal P, Diaz I, Benito S, Giraldo BF. Classification of patients undergoing weaning from mechanical ventilation using the coherence between heart rate variability and respiratory flow signal. Physiol Meas 2015; 36: 1439-1452.

  • 2.

    Guilhermino MC, Inder KJ, Sundin D, Kuzmiuk L. Education of ICU nurses regarding invasive mechanical ventilation: Findings from a cross-sectional survey. Aust Crit Care 2014; 27: 126-132.

  • 3.

    Laakso K, Markstrm A, Hartelius L. Communication and quality of life in individuals receiving home mechanical ventilation. Int J Ther Rehabil 2009; 16: 648-655.

  • 4.

    Lavelle C, Dowling M. The factors which influence nurses when weaning patients from mechanical ventilation: Findings from a qualitative study. Int Crit Care Nurs 2011; 27: 244-252.

  • 5.

    McConville JF, Kress JP. Weaning patients from the ventilator. NEngl J Med 2012; 367: 2233-2239.

  • 6.

    Verbrugge S, Kulk A, van Velzen C. Weaning from mechanical ventilation: an update. Neth J Crit Care 2010; 14: 181-188.

  • 7.

    Rojek-Jarmua A, Hombach R, Gierek D, Krzych J. A single-centre 7-year experience with weaning from mechanical ventilation. Anaesthesiol Intensive Ther 2015; 47: 204-209.

  • 8.

    Nemer SN, Barbas CS. Predictive parameters for weaning from mechanical ventilation. J Bras Pneumol 2011; 37: 669-679.

  • 9.

    Huang CT, Tsai YJ, Lin JW, Ruan SY, Wu HD, Yu CJ. Application of heart rate variability in patients undergoing weaning from mechanical ventilation. Crit Care 2014; 18: R21.

  • 10.

    McLean SE, Jensen LA, Schroeder DG, Gibney NR, Skjodt NM. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. Am J Criti Care 2006; 15: 299-309.

  • 11.

    Thille AW, Corts-Puch I, Esteban A. Weaning from the ventilator and extubation in ICU. Curr Opin Crit Care 2013; 19: 57-64.

  • 12.

    Chen CJ, Hsu LN, McHugh G, Campbell M, Tzeng YL. Predictors of sleep quality and successful weaning from mechanical ventilation among patients in respiratory care centers. J Nur Res 2015; 23: 65-74.

  • 13.

    Rose L, Dainty KN, Jordan J, Blackwood B. Weaning from mechanical ventilation: a scoping review of qualitative studies. Ame J Crit Care 2014; 23: e54-e70.

  • 14.

    Moodie LH, Reeve JC, Vermeulen N, Elkins MR. Inspiratory muscle training to facilitate weaning from mechanical ventilation: protocol for a systematic review. BMC Res Notes 2011; 4: 283.

  • 15.

    Ladeira MT, Vital FM, Andriolo RB, Andriolo BN, Atallah N, Peccin MS. Pressure support versus T tube for weaning from mechanical ventilation in adults. Cochrane Database Syst Rev 2014; 27: CD006056.

  • 16.

    Hetland B, Lindquist R, Chlan LL. The influence of music during mechanical ventilation and weaning from mechanical ventilation: A review. Heart Lung 2015; 44: 416-425.

  • 17.

    Pettersson S, Melaniuk-Bose M, Edell-Gustafsson U. Anaesthetists perceptions of facilitative weaning strategies from mechanical ventilator in the intensive care unit (ICU): A qualitative interview study. Intensive Crit Care Nurs 2012; 28: 168-175.

  • 18.

    Rose L. Strategies for weaning from mechanical ventilation: A state of the art review. Intensive Crit Care Nurs 2015; 31: 189-195.

  • 19.

    Rojek-Jarmua A, Hombach R, Gierek D, Krzych J. A single-centre 7-year experience with weaning from mechanical ventilation. Anaesthesiol Intensive Ther 2015; 47: 204-209.

  • 20.

    Farghaly S, Galal M, Hasan AA, Nafady A. Brain natriuretic peptide as a predictor of weaning from mechanical ventilation in patients with respiratory illness. Aust Criti Care 2015; 28: 116-121.

  • 21.

    Epstein SK. Routine use of weaning predictors: not so fast. Crit Care 2009; 13: 1-3.

  • 22.

    Pu L, Zhu B, Jiang L, Du B, Zhu X, Li A, et al. Weaning critically ill patients from mechanical ventilation: A prospective cohort study. J Crit Care 2015; 30: 862.e7-e13.

  • 23.

    Clini E, Ambrosino N. Early physiotherapy in the respiratory intensive care unit. Res Med 2005; 99: 1096-1104.

  • 24.

    Jammes Y. Tonic sensory pathways of the respiratory system. Eur Resp J 1988; 1: 176-183.

  • 25.

    Gomez P, Stahel WA, Danuser B. Respiratory responses during affective picture viewing. Biolo Psychol 2004; 67: 359-373.

  • 26.

    Senapati J. Effect of stimulation of muscle afferents on ventilation of dogs. J Appl Phys 1966; 21: 242-246.

  • 27.

    Umei N, Atagi K, Okuno H, Usuke S, Otsuka Y, Ujiro A. et al. Impact of mobilisation therapy on the haemodynamic and respiratory status of elderly intubated patients in an intensive care unit: A retrospective analysis. Intensive Crit Care Nur 2016; 35: 16-21.

  • 28.

    Fakhr-Movahedi A, Nobahar M, Bolhasani M. The effect of touch on the vital signs of agitated patients undergoing mechanical ventilation: an interventional study. J Urmia NurMidwif Faculty 2014; 12: 899-907. (Persian).

  • 29.

    Gerber CS. Understanding and managing coma stimulation: are we doing everything we can? Crit Care Nur Quarterly 2005; 28: 94-108.

  • 30.

    Elkins M, Dentice R. Inspiratory muscle training facilitates weaning from mechanical ventilation among patients in the intensive care unit: a systematic review. J physiotherapy 2015; 61: 125-134.

  • 31.

    Lavelle C, Dowling M. The factors which influence nurses when weaning patients from mechanical ventilation: Findings from a qualitative study. Intensive Crit Care Nur 2011; 27: 244-252.

  • 32.

    Carron M, Rossi S, Carollo C, Ori C. Comparison of invasive and noninvasive positive pressure ventilation delivered by means of a helmet for weaning of patients from mechanical ventilation. J Crit Care 2014; 29: 580-585.

  • 33.

    Zhao J, Gonzalez F, Mu D. Apnea of prematurity: from cause to treatment. Eur J Pediatr 2011; 170: 1097-1105.

  • 34.

    Marlier L, Gaugler C, Messer J. Olfactory stimulation prevents apnea in premature newborns. Pediatrics 2005; 115: 83-88.

  • 35.

    Hapman RF, Mickleborough TD. The effects of caffeine on ventilation and pulmonary function during exercise: an often-overlooked response. Phys Sports Med 2009; 37: 97-103.

  • 36.

    Souri Lakie A, Bolhasani M, Nobahar M, Fakhr Movahedi A, Mahmoudi H. The effect of touch on the arterial blood oxygen saturation in agitated patients undergoing mechanical ventilation. J Crit Care Nurs 2012; 5: 125-132.

  • 37.

    Lee OK, Chung YF, Chan MF, Chan WM. Music and its effect on the physiological responses and anxiety levels of patients receiving mechanical ventilation: a pilot study. J Clinic Nurs 2005; 14: 609-620.

  • 38.

    Liaw JJ. Tactile stimulation and preterm infants. J Perinat Neonatal Nurs 2000; 14: 84-103.

  • 39.

    Yang KL, Tobin MJ. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991; 324: 1445-1450.

  • 40.

    Aboussouan LS, Lattin CD, Anne VV. Determinants of time-toweaning in a specialized respiratory care unit. Chest 2005; 128: 3117-3126.

  • 41.

    Mohammadpour A, Dehno Alian A, Mojtabavi J. The effects of foot reflexology massage on physiological parameters of patients with stroke. Sci J Hamadan Nurs Midwifery Facul 2013 20: 50-56. (Persian).

  • 42.

    Nilsson U. The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart Lung 2009 38: 201-207.

  • 43.

    Heuberger E, Hongratanaworakit T, Buchbauer G. East Indian Sandalwood and alpha-santalol odor increase physiological and self-rated arousal in humans. Planta Med 2006; 72: 792-800.

  • 44.

    Meade M, Guyatt G, Sinuff T, Griffith L, Hand L, Toprani G, et al. Trials comparing alternative weaning modes and discontinuation assessments. Chest 2001; 120: 425S-437S.

  • 45.

    Twibell R, Siela D, Mahmoodi M. Subjective perceptions and physiological variables during weaning from mechanical ventilation. Am J Crit Care 2003; 12: 101-112.##.