A clinical trial to study the effects of two intervention lung recruitment along with chest physiotherapy and chest physiotherapy in post-operative paediatric congenital heart disease patients on mechanical ventilation.
- Conditions
- Health Condition 1: I52- Other heart disorders in diseasesclassified elsewhere
- Registration Number
- CTRI/2020/04/024849
- Lead Sponsor
- Datta Meghe Institute Of Medical Sciences Acharya Vinoba Bhave Rural Hospital Sawangi wardha
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 128
1)Both male and female in the age group of 2-14 yrs post- operated cases of congenital heart disease (cyanotic& acyanotic) on Mechanical ventilation for atleast 6 hour will be included.
1.Patient below 1 yrs of age ( due to unavailability of proper evidence in neonates and safety issue is taken into account. no harm principle of bioethics is applied )
2.Patients with H/O of any respiratory disease.
3. Patient with Thoracic deformity
4.Patient with Bronchopleural fistula
5. Patient on intercostals catheter with continuous leak.
6.Patient with unstable hemodynamics hypotension -Systolic B.P < 65 mmHg in infants , <70 mmHg in 1-4 yrs , <80 in 5-12 yrs and <90 mmHg in more than 12 yrs,
7.Patient with life threatening arrhythmias,
8.Patient with Acute heart failure
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1.Lung compliance <br/ ><br>2.Oxygenation <br/ ><br>3.Ventilation <br/ ><br>4.Extubation timeTimepoint: Time points- lung compliance, Oxygenation and ventilation, 2 minutes before intervention (BASELINE) and 15 minutes after intervention. <br/ ><br>Intervention is repeated either after 6-8 hours or after assessing the chest and if it requires intervention. <br/ ><br>It is continued till the patient is extubated.. <br/ ><br>Time points Extubation time -Time at which the patient is taken on ventilator and time of extubation. <br/ ><br>
- Secondary Outcome Measures
Name Time Method 1.Adverse event (pneumothorax, arrhythmias, BP fall ) <br/ ><br>2. various types of CHD( cyanotic ,acynotic, mixed & complex ) <br/ ><br>3.length of ICU stay ( in days ) <br/ ><br>4.length of hospital stay ( in days) <br/ ><br>5.( BP,HR,RR) <br/ ><br>heart rate& RR ââ?¬â?? will be recorded bpm Tool for measurement- using moniter . <br/ ><br>Timepoint: Day of admission in the icu and the day of shifting to the ward <br/ ><br>Pre intervention and post intervention