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

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-01

Study Completion Date

2023-05-31

Brief Summary

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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.

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Detailed Description

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Subjects:

The study targets the children from both sexes.diagnosed with atelectasis in intensive care unit. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital, Cairo to participate in the study,

Study design:

Randomized controlled clinical trial. Children will receive intervention type randomly, 22 child received percussion, vibration, modified postural drainage and the other 22 child will receive percussion, vibration, modified postural drainage and thoracic block technique.

Children will be assessed by measuring heart rate, respiratory rate,which reflect the physiological status, arterial blood gases which include partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2) and oxygen saturation (SaO2) and dynamic lung compliance which reflect clinical improvement of chest condition before and after ten days of receiving intervention

Conditions

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Atelectasis Intensive Care Unit Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Thoracic block technique and designed chest physical therapy program

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

Group Type EXPERIMENTAL

Thoracic block technique

Intervention Type OTHER

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 modified postural drainage for 30 minutes every day for ten days

Group Type ACTIVE_COMPARATOR

Designed chest physical therapy program

Intervention Type OTHER

Percussion, vibration and modified postural drainage

Interventions

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Thoracic block technique

Manual compression of the healthy lung during expiration associated with the use of invasive or non invasive mechanical ventilation

Intervention Type OTHER

Designed chest physical therapy program

Percussion, vibration and modified postural drainage

Intervention Type OTHER

Other Intervention Names

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Technique of insufflation to reverse atelectasis

Eligibility Criteria

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Inclusion Criteria

1. age range from 4 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.

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. rib fracture.
4. pneumothorax -

Minimum Eligible Age

4 Months

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No