Slow Expiratory Technique to Improve Alimentation in Children With Bronchiolitis
- Conditions
- Acute Viral Bronchiolitis
- Interventions
- Other: Chest physiotherapy with SETOther: Standard Treatment
- Registration Number
- NCT03738501
- Lead Sponsor
- Groupe Hospitalier du Havre
- Brief Summary
The purpose of this study is to determine wether a single chest physiotherapy session with slow expiratory technique (SET) improves infants with viral bronchiolitis quality of life (food intake and sleep) on the next 24 hours.
- Detailed Description
Bronchiolitis is the most common lower respiratory viral infection in infants. Nowadays bronchiolitis is the first reason of children hospitalisation worldwide. Symptoms are based on airway inflammation associated to an increased mucus production and cell necrosis leading to a multifactorial airway obstruction. Recommended treatments are supportive care based on oxygenation and rehydration. Airway clearance techniques represented by chest physiotherapy remain controversial.
Considering that bronchiolitis impacts respiratory condition in young infants feeding and sleep may be reduced. Evaluating quality of life represented by feeding and sleep in hospitalized infants may be an important outcome in this population.
The investigators hypothesized that chest physiotherapy with SET will improve children's quality of life, especially 24 hours food intake and sleep.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 42
- children under 12 months
- hospitalized for bronchiolitis
- chest physiotherapy prescription
- bronchial obstruction confirmed by physician and respiratory physiotherapist
Non-inclusion Criteria :
- children more than 1 year
- exclusive breastfeeding or enteral feeding
- prematurity (gestational age < 35 weeks)
- cardiac, neurological and pulmonary comorbidity
- continuous oxygen supplementation or ventilatory support
- chest physiotherapy contraindications
- side effects during chest physiotherapy : bradycardia <100 bpm, oxygen saturation<90%, general state alteration
- outing, oxygen supplementation or parenteral nutrition less than 24 hours after randomization
- chest physiotherapy cessation according to family request
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Chest physiotherapy with SET Chest physiotherapy with SET Chest physiotherapy will be provided by a single physiotherapist not involved in outcomes assessment. Airway clearance technique will be Slow Expiratory Technique (SET). SET is a slow modulation of airflow in order to remove bronchial secretions within infants lungs. Experimental group will also benefit for standard medical and non-pharmacological care (e.g Standard Treatment) Chest physiotherapy with SET Standard Treatment Chest physiotherapy will be provided by a single physiotherapist not involved in outcomes assessment. Airway clearance technique will be Slow Expiratory Technique (SET). SET is a slow modulation of airflow in order to remove bronchial secretions within infants lungs. Experimental group will also benefit for standard medical and non-pharmacological care (e.g Standard Treatment) Standard treatment Standard Treatment Medical treatment, health education for parents, rhinopharyngeal clearance using isotonic saline solution, advices.
- Primary Outcome Measures
Name Time Method Food ingestion 24 hours following intervention Total Food ingestion within 24 hours after intervention measured by nurses or parents
- Secondary Outcome Measures
Name Time Method Sleep quality 24 hours following intervention Desaturation\<90% (Pulse oximetry monitoring during sleep) count during diurnal and nocturnal sleep
Oxygen saturation Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention Pulse oximetry monitoring
Respiratory Distress Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention Bronchiolitis Severity Score (described by Gajdos et al. as mentioned in the references). The Bronchiolitis Severity Score involves the calculation and addition of three subscores (age-based respiratory rate scale, score of 1-3; retractions, and wheeze scales, both running from 0 to 3). Total score ranges from 1 to 9, with higher scores indicating greater respiratory distress.
Respiratory rate Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention Pulse oximetry monitoring
Heart Rate Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention Pulse oximetry monitoring
Trial Locations
- Locations (1)
Groupe Hospitalier Du Havre
🇫🇷Le Havre, France