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A clinical trial to study the effects of two intervention lung recruitment along with chest physiotherapy and chest physiotherapy in post-operative paediatric congenital heart disease patients on mechanical ventilation.

Effect of lung recruitment manoeuvres as an adjunct to conventional chest physiotherapy in post operative paediatrics congenital heart disease patients on mechanical ventilation: A randomized control trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2020/04/024849
Enrollment
128
Registered
2020-04-24
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: I52- Other heart disorders in diseasesclassified elsewhere

Interventions

Intervention1: chest physiotherapy and lung recruitement manouver: chest physiotherapy- percussion, vibration, shaking and positioning lung recruitement manoeuver - increamental increase in PEEP on me

Sponsors

Datta Meghe Institute Of Medical Sciences Acharya Vinoba Bhave Rural Hospital Sawangi wardha
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1)Both male and female in the age group of 2-14 yrs post- operated cases of congenital heart disease (cyanotic& acyanotic) on Mechanical ventilation for atleast 6 hour will be included.

Exclusion criteria

Exclusion criteria: 1. Patient below 1 yrs of age ( due to unavailability of proper evidence in neonates and safety issue is taken into account. no harm principle of bioethics is applied ) 2. Patients with H/O of any respiratory disease. 3. Patient with Thoracic deformity 4. Patient with Bronchopleural fistula 5. Patient on intercostals catheter with continuous leak. 6. Patient with unstable hemodynamics hypotension -Systolic B.P < 65 mmHg in infants , <70 mmHg in 1-4 yrs , <80 in 5-12 yrs and <90 mmHg in more than 12 yrs, 7. Patient with life threatening arrhythmias, 8. Patient with Acute heart failure

Design outcomes

Primary

MeasureTime frame
1. Lung compliance 2. Oxygenation 3. Ventilation 4. Extubation timeTimepoint: Time points- lung compliance, Oxygenation and ventilation, 2 minutes before intervention (BASELINE) and 15 minutes after intervention. Intervention is repeated either after 6-8 hours or after assessing the chest and if it requires intervention. It is continued till the patient is extubated.. Time points Extubation time -Time at which the patient is taken on ventilator and time of extubation.

Secondary

MeasureTime frame
1. Adverse event (pneumothorax, arrhythmias, BP fall ) 2. various types of CHD( cyanotic ,acynotic, mixed & complex ) 3. length of ICU stay ( in days ) 4. length of hospital stay ( in days) 5. ( BP,HR,RR) heart rate& RR ââ?¬â?? will be recorded bpm Tool for measurement- using moniter . Timepoint: Day of admission in the icu and the day of shifting to the ward Pre intervention and post intervention

Countries

India

Contacts

Public ContactDr Lajwanti Lalwani

Datta Meghe Institute of Medical Sciences [DU]

atharkazi2160@gmail.com9302621009

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026