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

Children Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05480202
• Other study ID #: P. T. REC/012/003483
• Status: Completed
• Phase: N/A
• Start date: December 6, 2021
• Est. completion date: July 20, 2022

Study information

• Verified date: July 2022
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

Subjects: The study targets the children from both sexes. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital intensive care units ,Cairo to participate in the study Study design: Randomized controlled clinical trial. A. Inclusion criteria: 1. age range from 6 months to 4 years . 2. diagnosed with pneumonia, receiving Mechanical ventilation. 3. start from second day of admission to intensive care unit. 4. have unilateral mild to moderate atelectasis according to medical referral . 5. should be vitally stable during the session. B. Exclusion criteria: The children will be excluded from the study if they had one of the following: 1. medically unstable ( examples: tachycardia and tachypnea). 2. uncontrolled convulsion. 3. irritable or moderate to sever pain 4. rib fracture 5. pneumothorax Children will be assessed by measuring heart rate, respiratory rate, chest x-ray, arterial blood gases,dynamic compliance, oxygen saturation index before and after ten days of receiving intervention

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: July 20, 2022
• Est. primary completion date: July 10, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Months to 4 Years

Eligibility

Inclusion Criteria:

1. age range from 6 months to 4 years .

2. diagnosed with pneumonia, receiving Mechanical ventilation.

3. start from second day of admission to intensive care unit.

4. have unilateral mild to moderate atelectasis according to medical referral.

5. should be vitally stable during the session. B. Exclusion criteria: The children were excluded from the study if they had one of the following: Exclusion Criteria:

The children were excluded from the study if they had one of the following:

1. medically unstable ( examples: tachycardia and tachypnea).

2. uncontrolled convulsion.

3. irritable or moderate to sever pain

4. rib fracture

5. pneumothorax

Related Conditions & MeSH terms

• Atelectasis
• Children
• Intensive Care Unit
• Pulmonary Atelectasis

Intervention

Other:
• Thoracic block technique
Manual compression of the healthy lung during expiration associated with the use of invasive or non invasive mechanical ventilation
• Designed chest physical therapy program
Percussion, vibration and postural drainage

Locations

Country	Name	City	State
Egypt	Cairo University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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