Effect of Thoracic Block Technique on Arterial Blood Gases in Children With Atelectasis on Mechanical Ventilation

NCT05821998 | Completed

• 1 other identifier: P. T. REC/012/004401
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Atelectasis; Intensive Care Unit; Children

Outcome Measures

Primary Outcomes (3)

• Assessment of oxygenation status

  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

  10 days for each participant

• Assessment of ventilation status

  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

  10 days for each participant

• Assessment of dynamic lung compliance

  Assessment of change in lung compliance value during air flow which calculated automatically by mechanical ventilator, we record it 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 and modified postural drainage on session time for 35 minutes every day for ten days

Other: Thoracic block technique

Designed chest physical therapy program

ACTIVE COMPARATOR

Percussion, vibration and modified 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 modified postural drainage

Designed chest physical therapy program

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• 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 -

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: March 25, 2023
• First Posted: April 20, 2023
• Study Start: December 1, 2022
• Primary Completion: May 25, 2023
• Study Completion: May 31, 2023
• Last Updated: August 1, 2023

Record last verified: 2023-07

Locations

EG (1)