Effect of Thoracic Block Technique on Arterial Blood Gases, Vital Signs and Lung Compliance in Children With Atelectasis on Mechanical Ventilation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Assessment of ventilation status
研究概览
简要总结
Statement of the problem:
• Does the thoracic block technique has effect on arterial blood gases, vital signs and lung compliance in children with atelectasis on mechanical ventilation? Null hyposis there is no effect of thoracic block technique on arterial blood gases, vital signs and lung compliance in children with atelectasis on mechanical ventilation.
详细描述
Subjects:
The study targets the children from both sexes.diagnosed with atelectasis in intensive care unit. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital, Cairo to participate in the study,
Study design:
Randomized controlled clinical trial. Children will receive intervention type randomly, 22 child received percussion, vibration, modified postural drainage and the other 22 child will receive percussion, vibration, modified postural drainage and thoracic block technique.
Children will be assessed by measuring heart rate, respiratory rate,which reflect the physiological status, arterial blood gases which include partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2) and oxygen saturation (SaO2) and dynamic lung compliance which reflect clinical improvement of chest condition before and after ten days of receiving intervention
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 (Participant)
入排标准
- 年龄范围
- 4 Months 至 4 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age range from 4 months to 4 years.
- •diagnosed with pneumonia, receiving mechanical ventilation.
- •start from second day of admission to intensive care unit
- •have unilateral mild to moderate atelectasis according to medical referral.
- •should be vitally stable during the session.
排除标准
- •The children were excluded from the study if they had one of the following:
- •medically unstable ( examples: tachycardia and tachypnea)
- •uncontrolled convulsion.
- •rib fracture.
- •pneumothorax -
研究组 & 干预措施
Thoracic block technique and designed chest physical therapy program
Manual compression on healthy lung for 20 seconds and rest for 20 seconds, total time 20 minutes and percussion, vibration and modified postural drainage on session time for 35 minutes every day for ten days
干预措施: Thoracic block technique (Other)
Designed chest physical therapy program
Percussion, vibration and modified postural drainage for 30 minutes every day for ten days
干预措施: Designed chest physical therapy program (Other)
结局指标
主要结局
Assessment of ventilation status
时间窗: 10 days for each participant
Assessment of change of partial pressure of carbon dioxide which is one value of arterial blood gases test results and calculated by arterial blood gases analyzier before and after intervention
Assessment of oxygenation status
时间窗: 10 days for each participant
Assessment of change of partial pressure of arterial oxygen which is one value in arterial blood gases test results which calculated by arterial blood gases analyzier and comparing results before and after intervention
Assessment of dynamic lung compliance
时间窗: 10 days for each participant
Assessment of change in lung compliance value during air flow which calculated automatically by mechanical ventilator, we record it before and after intervention
次要结局
未报告次要终点
研究者
Alaa Abdallah Amin
Scientific researcher
Cairo University