* cpt order will (or is expected to) be discontinued within 12 hours from the inclusion timing. this may include potential discharge from the unit. * cpt is not ordered for airway clearance. * spo2 is not stable (spo2=\<80%) with more than 0.60 of fio2 for ventilated patients including patients on niv, at least for the previous 1 hour from the screening. * spo2 is not stable (spo2=\<80%) with more than 0.60 of fio2 for the patients on hfnc, at least for the previous 1 hour from the screening. * bradycardia (hr\<50bpm) at any intervention at least 24 hours before the screening. * patients with known pneumothorax, osteomyelitis at icu admission. * thoracotomy within 1 month from the admission date. * known recent/unhealed rib fractures. * known skin injury of the chest wall. * no, obtain of ic. * brain death or vegetated states.

* cpt order will (or is expected to) be discontinued within 12 hours from the inclusion timing. this may include potential discharge from the unit. * cpt is not ordered for airway clearance. * spo2 is not stable (spo2=\<80%) with more than 0.60 of fio2 for ventilated patients including patients on niv, at least for the previous 1 hour from the screening. * spo2 is not stable (spo2=\<80%) with more than 0.60 of fio2 for the patients on hfnc, at least for the previous 1 hour from the screening. * bradycardia (hr\<50bpm) at any intervention at least 24 hours before the screening. * patients with known pneumothorax, osteomyelitis at icu admission. * thoracotomy within 1 month from the admission date. * known recent/unhealed rib fractures. * known skin injury of the chest wall. * no, obtain of ic. * brain death or vegetated states.

- cpt order will (or is expected to) be discontinued within 12 hours from the inclusion timing. this may include potential discharge from the unit. - cpt is not ordered for airway clearance. - spo2 is not stable (spo2=<80%) with more than 0.60 of fio2 for ventilated patients including patients on niv, at least for the previous 1 hour from the screening. - spo2 is not stable (spo2=<80%) with more than 0.60 of fio2 for the patients on hfnc, at least for the previous 1 hour from the screening. - bradycardia (hr<50bpm) at any intervention at least 24 hours before the screening. - patients with known pneumothorax, osteomyelitis at icu admission. - thoracotomy within 1 month from the admission date. - known recent/unhealed rib fractures. - known skin injury of the chest wall. - no, obtain of ic. - brain death or vegetated states.

- cpt order will (or is expected to) be discontinued within 12 hours from the inclusion timing. this may include potential discharge from the unit. - cpt is not ordered for airway clearance. - spo2 is not stable (spo2=<80%) with more than 0.60 of fio2 for ventilated patients including patients on niv, at least for the previous 1 hour from the screening. - spo2 is not stable (spo2=<80%) with more than 0.60 of fio2 for the patients on hfnc, at least for the previous 1 hour from the screening. - bradycardia (hr<50bpm) at any intervention at least 24 hours before the screening. - patients with known pneumothorax, osteomyelitis at icu admission. - thoracotomy within 1 month from the admission date. - known recent/unhealed rib fractures. - known skin injury of the chest wall. - no, obtain of ic. - brain death or vegetated states.