What is the Effective Pulmonary Physiotherapy Method in Critically Care Patients?

ILKE KUPELI

Status: Completed

Conditions: Atelectasis

Treatments: Device: chest wall vibration technique; Device: routine pulmonary rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02645695

erzincan university

Details and patient eligibility

About

Effects of the high frequent chest wall oscillation technique applied on the patients who were intubated in intensive care unit were investigated.

A total of 30 patients who were intubated and under the mechanical ventilator supplied, were included in the study. While the control group (n=15) received routine pulmonary rehabilitation technique, the study group (n=15) was administered high frequency chest wall oscillation for 72 hours as 4 times of 15-minute intervals, in addition to the pulmonary rehabilitation technique. Patients 'APACHE-II scores, dry sputum weight, Lung Collapse Index and blood gas values were measured at the hours 24th, 48th and 72nd, and endotracheal aspirate culture was studied at initial and 72nd. In addition, patient outcomes were evaluated at the end of the first week.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• aged over 18 years
• Patients with more than three days intubated, in critical care unit of Mengücekgazi Training and Research Hospital

Exclusion criteria

• Patients with rib fracture
• acute hemorrhage
• unstable intracranial pressure
• existence of chest drainage tube and those have history of spinal surgery,
• skin infection in the back and chest area and subcutaneous emphysema

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

30 participants in 2 patient groups

routine pulmonary rehabilitation

Active Comparator group

Description:

routine pulmonary rehabilitation consisted of position giving technique

Treatment:

Device: routine pulmonary rehabilitation

Device: chest wall vibration technique

chest wall vibration technique

Active Comparator group

Description:

chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours.

Treatment:

Device: routine pulmonary rehabilitation

Device: chest wall vibration technique