None listed
Conditions
Brief summary
Congenital diaphragmatic hernia (CDH) is a condition requiring immediate medical and multidisciplinary management, including physiotherapy. Positioning is a commonly used physiotherapy technique supported by the literature. However, the extent of its improvement on the respiratory system is unknown due to the limitations of the measuring equipment. Current measuring tools lack the ability to detect regional changes in the lungs. Electrical impedance tomography (EIT) has shown to be safe and effective in other areas of the healthcare system but has not been used for infants with CDH. This study will use EIT to assess the effectiveness of positioning in infants with CDH.
Interventions
In infants with Congenital Diaphragmatic hernia, we will observe the differences in lung ventilation in different positions. The exposure will be the routine position changes, such as, supine, quarter turn from supine or side lie. Infants are normally positioned approximately every 6 hours. EIT and Physiological data will be collected after routine position changes - immediately, at 30 minutes, 1 hour, 2 hours and 6 hours after each position change. Recordings will continue for a total of 24 hours. Participants will receive routine position changes regardless of their involvement in this study.
Sponsors
Eligibility
Inclusion criteria
- Age less than or equal to 12 months - CDH diagnosis - Parents/ guardians given informed consent
Exclusion criteria
- Infants with associated anomalies that would directly affect postnatal outcome. - Infants with associated disease or conditions compromising the cardiorespiratory system other than CDH. - Infants with fragile skin conditions at risk of skin breakdown from the EIT belt.