What is the Effective Pulmonary Physiotherapy Method in Critically Care Patients?

Not Applicable

Completed

• Conditions: Atelectasis
• Interventions: Device: routine pulmonary rehabilitation; Device: chest wall vibration technique

• Registration Number: NCT02645695
• Lead Sponsor: ILKE KUPELI

Brief Summary

Effects of the high frequent chest wall oscillation technique applied on the patients who were intubated in intensive care unit were investigated.

A total of 30 patients who were intubated and under the mechanical ventilator supplied, were included in the study. While the control group (n=15) received routine pulmonary rehabilitation technique, the study group (n=15) was administered high frequency chest wall oscillation for 72 hours as 4 times of 15-minute intervals, in addition to the pulmonary rehabilitation technique. Patients 'APACHE-II scores, dry sputum weight, Lung Collapse Index and blood gas values were measured at the hours 24th, 48th and 72nd, and endotracheal aspirate culture was studied at initial and 72nd. In addition, patient outcomes were evaluated at the end of the first week.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-02
• Primary Completion: 2014-07
• Study Completion: 2014-08
• Study First Submitted: 2015-12-30
• Status Verified: 2016-01
• Study First Submitted QC: 2016-01-01
• Last Update Submitted: 2016-01-01
• Study First Posted: 2016-01-05
• Last Update Posted: 2016-01-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• aged over 18 years
• Patients with more than three days intubated, in critical care unit of Mengücekgazi Training and Research Hospital

Exclusion Criteria

• Patients with rib fracture
• acute hemorrhage
• unstable intracranial pressure
• existence of chest drainage tube and those have history of spinal surgery,
• skin infection in the back and chest area and subcutaneous emphysema

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
routine pulmonary rehabilitation	routine pulmonary rehabilitation	routine pulmonary rehabilitation consisted of position giving technique
chest wall vibration technique	routine pulmonary rehabilitation	chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours.
chest wall vibration technique	chest wall vibration technique	chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours.
routine pulmonary rehabilitation	chest wall vibration technique	routine pulmonary rehabilitation consisted of position giving technique

Primary Outcome Measures

Name	Time	Method
change from baseline of Lung Collapse Index (LCI) values were recorded by listening both the lungs and scoring between 0 and 4 (0: normal expansion, 1: single lobe collapse, 2: 2 lobe collapse, 3: multiple lobe collapse) at six month	six month

Secondary Outcome Measures

Name	Time	Method
weight of the dry sputum after six month	six month