Influence of Techniques of Chest Physiotherapy on the Respiratory Status and the Hemodynamic Impact in the Pediatric Intensive Care
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Change from baseline oxygen saturation at 20 min, 30 min, 50 min, 80 min
研究概览
简要总结
The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- — 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Child < 10 kg
- •Hospitalization in the pediatric intensive care
- •Presence of an atelectasis to the radiography and/or to the lung ultrasound
- •Presence of an invasive ventilation or a non-invasive ventilation
- •Criteria of cardio-respiratory stability met
排除标准
- •Absence of the physiotherapist and the radiologist referents (by ex: at night)
- •Prematurity
- •Neuromuscular disease
- •Ventilation by high-frequency oscillation
- •Extraphysical Assistance
- •Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible
- •Intracranial pressure > 20 mmHg or clinical signs of intracranial high blood pressure
研究组 & 干预措施
Intubated infant
干预措施: Autogenic drainage (Device)
Intubated infant
干预措施: Intrapulmonary percussive ventilation (Device)
Extubated infant
干预措施: Autogenic drainage (Device)
Extubated infant
干预措施: Intrapulmonary percussive ventilation (Device)
结局指标
主要结局
Change from baseline oxygen saturation at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Change from baseline respiratory frequency at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Change from baseline cardiac frequency at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Change from baseline systolic blood pressure at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Change from baseline expiratory CO2 at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Change from baseline Atelectasis scores at 20 min
时间窗: Baseline and at 20 min
Each atelectasis has a thoracic ultrasound
Change from baseline diastolic blood pressure at 20 min, 30 min, 50 min, 80 min
时间窗: Baseline and at 20 min, 30 min, 50 min, 80 min
Stability of the parameters
Compare the atelectasis scores
时间窗: Baseline between thoracic ultrasound and chest x-ray
Compare the atelectasis scores between thoracic ultrasound and chest x-ray
次要结局
- Number of unexpected events(At 20 min)