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INTERNATIONAL JOURNAL OF CREATIVE RESEARCH THOUGHTS - IJCRT (IJCRT.ORG)
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Published Paper Details:
PHYSIOTHERAPY MANAGEMENT FOR ATELECTASIS IN PEDIATRICS RENAL TRANSPLANT PATIENT- DOES PRONE POSITIONING IMPROVE OXYGENATION? - A CASE STUDY.
Authors
Krishna Chanda,Bharat Tiwari
Downlaod Center
Keywords
Pediatric renal transplant, atelectasis, prone positioning, chest physiotherapy
Abstract
Background
Renal transplantation is one of most common organ transplant techniques, improves quality of life and overall survival in patient with end stage renal disease. Pulmonary complications such as atelectasis, pulmonary emphysema, and pulmonary thromboembolic events have been observed in post-transplant patients. Common symptoms of primary atelectasis patients include coughing, shortness of breath, and reduced chest expansion.
Purpose
The purpose of this case study is to report the results of a prone positioning along with conventional rehabilitation in paediatric renal transplant recipient.
Case Presentation
An 8-year-old girl child who underwent renal transplant surgery with her grandmother as donor and was presented with lung atelectasis. The patient reported with NRBM -12 lit of o2 support having pain, breathlessness, cough accompanied by reduce chest expansion. Chest X-ray and HRCT shows collapse consolidation with air bronchogram involving both lower lobes, markedly dilated all cardiac chambers, mild pericardial effusion.
Method
Nebulization, segmental breathing exercise, thoracic expansion exercise, incentive spirometer and active exercises was given thrice a day from day1post atelectasis , 3-5 repetitions a time with rest. Due to lack of improvement on first 2 days prone positioning was added from day 3.
Result
The results of the intervention in measuring the breathless using the Borg Scale, measuring thoracic expansion using a Medline, as well as the results of a chest X-ray.
Discussion
In case of primary atelectasis in post renal paediatric patient the prone positioning is given for improve ventilation along with nebulization and chest percussion vibration which helps to loosen secretion, segmental breathing exercise and thoracic expansion exercise to increase chest expansion and incentive spirometer to encourage coughing and facilitate mucus removal.
Conclusion
Prone positioning along with chest physiotherapy increase oxygenation, relieve breathless and increase thoracic expansion
IJCRT's Publication Details
Unique Identification Number - IJCRT2402559
Paper ID - 251635
Author type - Indian Author
Page Number(s) - e768-e778
Pubished in - Volume 12 | Issue 2 | February 2024
DOI (Digital Object Identifier) -
No Of Downloads - 36
Author Country - India, 380016, Ahmedabad, Ahmedabad, 380016, Humanities All
Publisher Name - IJPUBLICATION | www.ijcrt.org | ISSN : 2320-2882
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Krishna Chanda,Bharat Tiwari, "PHYSIOTHERAPY MANAGEMENT FOR ATELECTASIS IN PEDIATRICS RENAL TRANSPLANT PATIENT- DOES PRONE POSITIONING IMPROVE OXYGENATION? - A CASE STUDY.", International Journal of Creative Research Thoughts (IJCRT), ISSN:2320-2882, Volume.12, Issue 2, pp.e768-e778, February 2024, Available at :http://www.ijcrt.org/papers/IJCRT2402559.pdf
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