Effect of Thoracic Block Technique on Atelectasis in Children on Mechanical Ventilation

NCT05480202 | Completed

• 1 other identifier: P. T. REC/012/003483
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Statement of the problem:

• Does the thoracic block technique has effect on atelectasis in Children on Mechanical Ventilation? Null hypothesis:
• there is effect of thoracic block technique on atelectasis in children on Mechanical ventilation.

Conditions

Atelectasis; Intensive Care Unit; Children

Outcome Measures

Primary Outcomes (3)

• Assessment of heart rate and respiratory rate

  Assessment of change in heart rate and respiratory rate will be carried out by using electro cardiograph electrodes and pulse oximeter.

  10 days for each participant

• Assessment of atelectasis in chest x ray

  Assessment of atelectasis in chest x ray will be carried out by comparing presence, extent and distribution of atelectasis in x ray film before and intervention

  10 days for each participant

• Assessment of arterial blood gases test

  Assessment of change in arterial blood gases test will be carried out by comparing results before and after intervention

  10 days for each participant

Study Arms (2)

Thoracic block technique and designed chest physical therapy program

EXPERIMENTAL

Manual compression on healthy lung for 20 seconds and rest for 20 seconds, total time 20 minutes and percussion,vibration , postural drainage one session time for 35 minutes every day for ten days

Other: Thoracic block technique

Designed chest physical therapy program

ACTIVE COMPARATOR

Percussion, vibration and postural drainage for 30 minutes every day for ten days

Other: Designed chest physical therapy program

Interventions

Thoracic block technique OTHER

Manual compression of the healthy lung during expiration associated with the use of invasive or non invasive mechanical ventilation

Also known as: Technique of insufflation to reverse atelectasis

Thoracic block technique and designed chest physical therapy program

Designed chest physical therapy program OTHER

Percussion, vibration and postural drainage

Designed chest physical therapy program

Eligibility Criteria

• Age: 6 Months - 4 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• age range from 6 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.

You may not qualify if:

• The children were excluded from the study if they had one of the following:
• The children were excluded from the study if they had one of the following:
• medically unstable ( examples: tachycardia and tachypnea).
• uncontrolled convulsion.
• irritable or moderate to sever pain
• rib fracture
• pneumothorax

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Egypt

Location

MeSH Terms

Conditions

Pulmonary Atelectasis

Condition Hierarchy (Ancestors)

Lung Diseases; Respiratory Tract Diseases

Study Officials

• Alaa Abdallah

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Scientific researcher

Study Record Dates

• First Submitted: July 26, 2022
• First Posted: July 29, 2022
• Study Start: December 6, 2021
• Primary Completion: July 10, 2022
• Study Completion: July 20, 2022
• Last Updated: July 29, 2022

Record last verified: 2022-07

Locations

EG (1)