{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:54:49Z","timestamp":1775469289812,"version":"3.50.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T00:00:00Z","timestamp":1581379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Manual rib cage compression is a chest physiotherapy technique routinely used in clinical practice. However, scientific evidence remains scarce on the effects of manual rib cage compression on airway clearance and oxygenation in mechanically ventilated patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Anesthetized pigs were intubated via the trachea and mechanically ventilated. To create atelectasis, artificial mucus was infused into the airway. Each pig was randomly assigned to 1 of 2 groups: closed suctioning alone (control group, 7 pigs), or manual rib cage compression combined with closed suctioning (manual rib cage compression group, 8 pigs). Hard and brief rib cage compression synchronized with early expiratory phase was tested. Mucus clearance and oxygenation were assessed after the intervention. Sequential changes of hemodynamics were assessed after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      During hard manual rib cage compression, the mean \u00b1 SD peak expiratory flow increased to 44 \u00b1 7 L\/min compared with 31 \u00b1 7 L\/min without treatment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Manual rib cage compression combined with endotracheal suctioning increased mucus clearance compared with closed suctioning alone (mucus amounts, 5.5 [3.4\u20139.4] g vs 0.7 [0.5\u20132.0] g;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004); however, it did not improve gas exchange and radiologic findings. There were no significant differences in hemodynamic variables between the 2 groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Our findings indicated that hard and brief manual rib cage compression combined with closed suctioning was safe and led to improvement of mucus clearance; however, no effectiveness was confirmed with regard to oxygenation and ventilation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.07249","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T17:06:01Z","timestamp":1581440761000},"page":"1135-1140","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Manual Rib Cage Compressions on Mucus Clearance in Mechanically Ventilated Pigs"],"prefix":"10.1177","volume":"65","author":[{"given":"Akira","family":"Ouchi","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideaki","family":"Sakuramoto","sequence":"additional","affiliation":[{"name":"Department of Adult Health Nursing, College of Nursing, Ibaraki Christian University, Hitachi, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Unoki","sequence":"additional","affiliation":[{"name":"Department of Adult Health Nursing, School of Nursing, Sapporo City University, Sapporo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyo","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Department of Nursing, Kanto Gakuin University College of Nursing, Yokohama, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruhiko","family":"Hosino","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuaki","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Enomoto","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobutake","family":"Shimojo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taro","family":"Mizutani","sequence":"additional","affiliation":[{"name":"Ibaraki Western Medical Center, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.105.1.237"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc6830"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/002013240104601108"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07521392"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200207000-00034"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000229777.80271.4a"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2174\/1573398X1003150120095050"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07521328"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05501430"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02587"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00261500"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182711b52"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04490896"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03480754"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02352"},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","unstructured":"American Association for Respiratory Care. AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respir Care 2010; 55(6):758-764.","DOI":"10.4187\/respcare.10550758"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01706199"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.3.658"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1986.60.3.901"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.08531287"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0002800302"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02859"},{"issue":"3","key":"e_1_3_3_24_2","first-page":"285","article-title":"The effect of expiratory rib cage compression before endotracheal suctioning on the vital signs in patients under mechanical ventilation","volume":"19","author":"Bousarri MP","year":"2014","unstructured":"Bousarri MP, , Shirvani Y, , Agha-Hassan-Kashani S, , Nasab NM. 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