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March 14, 2026Respiratory Care0 citations

Implementing a Respiratory Therapy Protocol for Rib Fracture Patient Management

Implementation of a Respiratory Therapy-Driven Protocol to Monitor Rib Fracture Patients

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Authors

THTanner J HillWLWilliam Michael LeTourneauVSVeljko Strajina

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Overview

Retrospective analysis shows changes in pneumonia rates and vital capacity measures in rib fracture patients after respiratory therapy implementation.

Key Points

  • To evaluate the impact of a respiratory therapist-driven protocol on rib fracture patient outcomes.
  • Implemented a protocol for lung expansion therapy in rib fracture patients based on pulmonary function tests.
  • Data extracted from medical records of patients admitted for rib fractures at Mayo Clinic from January 2022 to January 2024.
  • Patients divided into pre-protocol (before January 2023) and post-protocol (on or after January 2023) groups.
  • Slight decrease in lung expansion therapy initiation post-implementation (43% to 39%).
  • Average days on CPAP decreased from 2.7 to 1.7 days post-implementation.
  • No significant difference in ventilatory support (12% vs 14%) or pneumonia diagnosis (7% vs 7.5%).
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Cite This Study

Hill et al. (2024) studied this question.

synapsesocial.com/papers/69b4ba2718185d8a39802d73https://doi.org/10.4187/respcare.20244136752
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