NCT06349785

Manual Hyperinflation and Physical Therapy Program on Lung Recruitment Mechanically Ventilated Pediatric Patients

Effect of Combined Manual Hyperinflation and Standard Physical Therapy Program on Lung Recruitment in Mechanically Ventilated Pediatric Patients: A Randomized Clinical Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 32 (actual)
• Sponsor: New Ismailia National University · Academic / Other
• Sex: All
• Age: 10 Years – 15 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to investigate the immediate combined effects of Manual Hyperinflation and standard Physical therapy program on lung recruitment and secretion mass in mechanically ventilated pediatric patients aged between 10-15 years 'old

Detailed description

In developing countries, lower respiratory tract infection is a major cause of death in children, with severely ill patients being admitted to the critical-care unit. While physical therapists commonly use the manual hyperinflation (MHI) technique for secretion mass clearance in critical-care patients, its efficacy has not been determined in pediatric patients. Manual hyperinflation is a frequently maneuver used in critically ill intubated and mechanically ventilated patients. With MHI, patients are disconnected from the mechanical ventilator after which their lungs are temporarily ventilated with a manual ventilation bag. so, by applying a larger than normal volume at a low inspiratory pause and expiration with a high expiratory flow, MHI is suggested to mimic a normal cough. Propagation of airway secretions from the smaller toward the larger airways, then allows for easy removed of airway secretions with the airway suction. finally, MHI could prevent airway plugging and even promote alveolar recruitment. so the aim of the study is to enhance lung recruitment using MHI combined with standard Physical therapy program

Conditions

• Mechanical Ventilation Complication
• Physical Disability

Interventions

Type	Name	Description
DEVICE	rehabilitation of mechanically ventilated patients	1. mechanical ventilation 2. silicon resuscitation bag (500ml) connected to pressure manometer with an oxygen flow of 10 l.min-1 3. Endotracheal closed suction with pressure control ventilation (PCV)
PROCEDURE	supportive care	\- Children in study group B will receive standard Physical therapy program including suction, percussion and vibration with total duration of session in group a will be 15 minutes, daily for successive two weeks

Timeline

• Start date: 2023-12-20
• Primary completion: 2024-03-01
• Completion: 2024-03-29
• First posted: 2024-04-05
• Last updated: 2024-04-05

Locations

1 site across 1 country: Egypt