Manual hyperinflation and Suctioning OR Suctioning alone ?

Recent practices in ICU for ventilated associated pneumonia patients include suctioning alone for removal of secretions from the tract which has been creating a radial traction and bronchospasm thereby affecting the respiratory tract of the patient. This study will provide a detail description of how manual Hyperinflation and Suctioning will be more beneficial than Suctioning alone in ventilated associated pneumonia patients in ICU for maintaining the respiratory tract clean.