Impact of Forced Expiration On Pleural Drainage Duration (KPDP)
NCT ID: NCT02660203
Last Updated: 2018-11-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
140 participants
INTERVENTIONAL
2016-05-31
2020-05-31
Brief Summary
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Pleural effusion is responsible for pulmonary congestion, atelectasis, hypoventilation, lower efficacy of diaphragmatic curse, lower pulmonary reexpansion and vicious attitude. These complications could be avoided by respiratory physiotherapy.
Forced expiration technic in ipsilateral decubitus is one of these technics but has never been proved better than other technics regarding its efficiency.
The aim of the study is to compare the impact of such a technic on post operative thoracic drainage after pulmonary, pleural or mediastinal pediatric surgery.
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Detailed Description
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Pleural effusion may cause pulmonary congestion, atelectasis, hypoventilation, lower efficacy of diaphragmatic curse, lower pulmonary reexpansion and vicious attitude.
Respiratory physiotherapy in such situations has different aims : pulmonary decongestion and reexpansion, aid for drainage and pleural fluid reduction, avoiding complications and preventing vicious attitudes.
These aims are learned in Physiotherapy formation institutes. The forced expiration technic in ipsilateral decubitus is justified by pleural physiology and is used after pediatric surgery without any scientific evidence regarding his efficacy Using pulmonary physiotherapy after pulmonary, mediastinal or pleural surgery for children is not systematic and depends on prescriber without any professional recommendation.
Actually no scientific evidence regarding technical or postural indicates improvement of effusion drainage.
It seems to be necessary to validate efficiency of such a technic and evaluate its consequences on post-operative pain. Furthermore, this pleural drainage impacts directly the duration of hospitalization and paramedical workload
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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forced expiration
2 daily sessions of forced expiration on ipsilateral decubitus from day 1 after surgery until chest tube removal
Forced expiration
Amongst chest physiotherapy technics, forced expiration is one of the passive procedures used in pediatrics.
The patient is positioned on ipsilateral decubitus and the physiotherapist is behind the patient, placing one hand on the patient abdomen and the other on the patient lateral chest. During expiration, the abdominal hand apply a pressure directed posteriorly and superiorly for the patient. Simultaneously, the thoracic hand apply a pressure posteriorly and inferiorly for the patient. The session's duration is 15 minutes after what the physiotherapist replace the patient in dorsal decubitus.Two sessions a day will be performed
control
No session of forced expiration
No interventions assigned to this group
Interventions
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Forced expiration
Amongst chest physiotherapy technics, forced expiration is one of the passive procedures used in pediatrics.
The patient is positioned on ipsilateral decubitus and the physiotherapist is behind the patient, placing one hand on the patient abdomen and the other on the patient lateral chest. During expiration, the abdominal hand apply a pressure directed posteriorly and superiorly for the patient. Simultaneously, the thoracic hand apply a pressure posteriorly and inferiorly for the patient. The session's duration is 15 minutes after what the physiotherapist replace the patient in dorsal decubitus.Two sessions a day will be performed
Eligibility Criteria
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Inclusion Criteria
* In front have a mediastinum or lung surgery (lung segmentectomy or lobectomy or non anatomical lung resection) with pleural drainage, regardless of the type drain
* Whose parents or the holder of parental authority have signed a consent
* Whose parents or the holder of parental authority are affiliated to a social security scheme
Exclusion Criteria
* Oncology (chest tumors, lung metastases)
* Drained Pleuropneumopathies
* Spine Surgery
* Heart surgery
* Surgery for pectus excavatum
* Route of anterior surgical approach sternotomy chest kind
* Patients intubated and / or ventilated
* Patients with preoperative sepsis
1 Day
48 Weeks
ALL
No
Sponsors
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University Hospital, Tours
OTHER
Responsible Party
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Principal Investigators
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Emilie CHICOISNE, Mrs
Role: PRINCIPAL_INVESTIGATOR
UH TOURS
Hubert LARDY, MD
Role: PRINCIPAL_INVESTIGATOR
UH Tours
Locations
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Uh Angers
Angers, , France
UH BREST
Brest, , France
Hospices civiles Lyon
Bron, , France
UH of PARIS - KREMLIN BICETRE Hospital
Le Kremlin-Bicêtre, , France
Uh Limoges
Limoges, , France
UH Marseille
Marseille, , France
Uh Nantes
Nantes, , France
UH of PARIS - NECKER Hospital
Paris, , France
UH of PARIS - Robert Debre Hospital
Paris, , France
UH Tours
Tours, , France
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2015-A01549-40
Identifier Type: REGISTRY
Identifier Source: secondary_id
PHRIP-14/EC/KPDP
Identifier Type: -
Identifier Source: org_study_id
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