Influence of Techniques of Chest Physiotherapy in the Pediatric Intensive Care

Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Status: Unknown

Conditions: Atelectasis

Treatments: Device: Autogenic drainage; Device: Intrapulmonary percussive ventilation

Study type: Interventional

Funder types: Other

Identifiers

NCT03112811

Atelectasis001

Details and patient eligibility

About

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.

Enrollment: 80 estimated patients

Sex: All

Ages: Under 16 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups

Intubated infant

Experimental group

Treatment:

Device: Intrapulmonary percussive ventilation

Device: Autogenic drainage

Extubated infant

Experimental group

Treatment:

Device: Intrapulmonary percussive ventilation

Device: Autogenic drainage