Influence of Techniques of Chest Physiotherapy in the Pediatric Intensive Care

Atelectasis Clinical Trial

Official title:

Influence of Techniques of Chest Physiotherapy on the Respiratory Status and the Hemodynamic Impact in the Pediatric Intensive Care

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03112811
• Other study ID #: Atelectasis001
• Status: Recruiting
• Phase: N/A
• First received: April 3, 2017
• Last updated: April 7, 2017
• Start date: April 3, 2007
• Est. completion date: January 1, 2021

Study information

• Verified date: April 2017
• Source: Cliniques universitaires Saint-Luc- Université Catholique de Louvain
• Contact: Damien Moerman, PT
• Email: damien.moerman[@]uclouvain.be
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 80
• Est. completion date: January 1, 2021
• Est. primary completion date: December 31, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 16 Years

Eligibility

Inclusion Criteria:

• Child < 10 kg

• Hospitalization in the pediatric intensive care

• Presence of an atelectasis to the radiography and/or to the lung ultrasound

• Presence of an invasive ventilation or a non-invasive ventilation

• Criteria of cardio-respiratory stability met

Exclusion Criteria:

• Absence of the physiotherapist and the radiologist referents (by ex: at night)

• Prematurity

• Neuromuscular disease

• Ventilation by high-frequency oscillation

• Extraphysical Assistance

• Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible

• Intracranial pressure > 20 mmHg or clinical signs of intracranial high blood pressure

Related Conditions & MeSH terms

• Atelectasis
• Pulmonary Atelectasis

Intervention

Device:
• Autogenic drainage
The manual technique of the chest physiotherapy to move the secretions
• Intrapulmonary percussive ventilation
The instrumental technique of the chest physiotherapy to move the secretions

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline Atelectasis scores at 20 min	Each atelectasis has a thoracic ultrasound	Baseline and at 20 min
Primary	Change from baseline cardiac frequency at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Change from baseline respiratory frequency at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Change from baseline systolic blood pressure at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Change from baseline diastolic blood pressure at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Change from baseline oxygen saturation at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Change from baseline expiratory CO2 at 20 min, 30 min, 50 min, 80 min	Stability of the parameters	Baseline and at 20 min, 30 min, 50 min, 80 min
Primary	Compare the atelectasis scores	Compare the atelectasis scores between thoracic ultrasound and chest x-ray	Baseline between thoracic ultrasound and chest x-ray
Secondary	Number of unexpected events	Pain, desaturation, accidentally extubation	At 20 min