Online ISSN: 2515-8260

Keywords : pulmonary functions


Transcutaneous Electrical Nerve Stimulation on patients presenting intercostal Drainage

Rajesh Kumar Jha, Pravin Kumar Jha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 672-676

Background: Chest drains or the tube thoracotomy or intercostal drainage tube gives a
technique for eliminating the air and fluid from the pleural space. It is a most painful
cut repressing the hacking, breathing and decreasing the pulmonary functions. The use
of TENS gives a pain-relieving impact which decreases the nociceptive pathways and
helps in working on pulmonary functions. Consequently, the review expects to see the
impact of transcutaneous electrical nerve stimulation on pulmonary functions in
patients with an intercostal drainage tube.
Material and Method: The review consists of 10 patients with Intercostal Drainage
Tube were chosen by convenient sampling at Darbhanga Medical College. The patients
were taken in the age group of 20-40 years according to inclusion criteria and
intervention protocol was given for 2 weeks.
Outcome measures: Pulmonary Function Test (FEV1 and FVC).
Results: The mean contrast for FEV1 in litre was 0.225, t esteem 3.406, p esteem 0.0078
and Pred% were 16, t esteem 18.674,p value<0.0001.The mean distinction for FVC in
litre was 0.3010,t worth 3.4549,p worth 0.0062 and Pred% was 16,t worth 14.884,p
worth <0.0001.Both (FEV1 and FVC) have shown critical improvement after the
utilization of TENS for quite some time in patients with Intercostal Drainage Tube.
Conclusion: The review concluded that the utilization of Transcutaneous Electrical
Nerve Stimulation worked on the Pulmonary Functions in Patients with Intercostal
Drainage tubes.

Effect of Hemodialysis on pulmonary function in patients with End stage renal disease

Shailendra Mane, C Bhujbal, Rajashri Mane, Rajesh Khayalappa

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 9774-9782

Background: The intermittent hemodialysis (IHD) has been a useful renal replacement
therapy for critically ill patients.Pulmonary dysfunction in end-stage kidney disease has
been seen as a straight effect of circulating uremic toxins or a secondary effect of
volume overload, anemia, immune suppression, premature airway closure, ventilationperfusion
mismatching, severe mechanical loading, gas transfer defects, malnutrition,
electrolyte disorders, and/or acid/base imbalances.
Aim of the study: To study effect of Hemodialysis on pulmonary function in patients
with end stage renal disease.
Materials and methods: The present study was conducted at Department of Medicine,
D. Y. Patil Hospital, Kolhapur, Maharashtra.We sampled all the hemodialysis patients
from four selected units that met the inclusion and exclusion criteria.
Results: A prospective observational study was conducted at Department of Medicine,
D. Y. Patil hospital, Kolhapur. Total 103 study subjects were selected for study who
were undergoing regular hemodialysis in current institution. Male study subjects were
53 (51.46%) while females were 50 (48.54%). Among study subjects 103 subjects, 57
(55.34%) in stage IV followed by 46 (44.66%) were in stage V. Out of 103 subjects, 46
(44.66%) were doing hemodialysis since last 1 to 3 years followed by 41 (39.81%) of
subjects doing hemodialysis for previous 6 to 12 month. Conclusion: According to our
findings, it can be concluded that patients with ESRD who receive hemodialysis may
have a better pulmonary function after dialysis sessions, which is significant for FVC,
FEV1, FEV1/ FVC ratio and PEFR.