Pediatric patients with acute and chronic pulmonary diseases (bronchitis, bronchopneumonia, pneumonia, atelectasis, congenital pulmonary malformations [diaphragmatic hernia, sequester, cystic malformations, pulmonary hypoplasia, scoliosis, pectus excavatum, etc.], congenital disorders of lung clearance [cystic fibrosis, ciliary dyskinesia]). J18.0 P23 J20 Q79.0 Q33.0 E84
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Newborns, infants, small children, schoolchildren with the need for chest physiotherapy in the context of an acute or chronic pulmonary disease • Weight =3.5 kg and/or chest circumference =36cm • Parental consent to study participation
Exclusion criteria
Exclusion criteria: - preterm birth <37 weeks of gestational age - Mechanical ventilation - Pediatric patients receiving palliative care - Lack of parental consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection of an improvement of the ventilation distribution after chest physiotherapy according to at minimum one EIT-Index measured with the PulmoVista 500 tomograph (Fa.Dräger): 1) Global-Inhomogeneity (GI) Index, 2) End-Expiratory Lung Impedance (EELI), or 3) mean Center-of-Ventilation (CoV). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) The electrical impedance tomography (EIT) measurement does not have a negative impact on the chest physiotherapeutich treatmen. 2) The electrical impedance tomography (EIT) measurement provides results with a high signal quality (delta impedance) across all lung fields in children before and after chest physiotherapy. 3) The electrical impedance tomography (EIT) gives children (>2 years, due to cognitive capability) a visual impression of the inhalation and exhalation and increases in a playfull way the motivation of the patient during the chest physiotherapy. | — |
Countries
Germany
Contacts
Uniklinikum Bonn, Eltern-Kind-Zentrum, Klinik für Neonatologie und Pädiatrische Intensivmedizin