Viral Bronchiolitis
Conditions
Keywords
Acute Bronchiolitis, Chest Physiotherapy, Forced Expiratory Techniques, Double Blind Trial, Children, Pediatric, RESPIRATORY SYNCYTIAL VIRUS
Brief summary
The purpose of this study is to determine whether chest physiotherapy with forced expiratory technique reduces delay of healing in acute bronchiolitis of children between 15 days and 24 months of age.
Detailed description
Bronchiolitis is the most common lower respiratory infection in infants, and the respiratory condition leading to the majority of hospital admissions in young children. It is also probably the most common serious illness of childhood lacking evidence-based treatment. Evidence against the effectiveness of chest physiotherapy with vibration and postural drainage techniques has been described but forced expiratory technique, as described in France, has never been evaluated. The investigators hypothesised that forced expiratory technique was able to reduce the duration of respiratory distress. Comparison(s): The investigators compare physiotherapy with forced expiratory techniques to simple aspiration of naso-pharyngeal secretions.
Interventions
PROCEDUREChest Physiotherapy with Forced Expiratory Technique
Chest Physiotherapy with Forced Expiratory Technique
PROCEDURENasopharyngeal Aspiration
Nasopharyngeal Aspiration
Sponsors
Association des Réseaux Bronchiolite
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
15 Days to 24 Months
Healthy volunteers
No
Inclusion criteria
* Child aged 15 days to 24 months * First acute bronchiolitis * Indication of hospitalisation * One or more of these criteria : toxic aspect; apnea or cyanosis; respiratory rate \> 60/min; pulse oxymetry \< 95%; alimentary intake \< 2/3 of the needs.
Exclusion criteria
* Prematurity (gestational age \< 32 weeks) * Brondysplasia * Chronic lung disease or congenital heart disease * Respiratory distress necessitating admission in the Pediatric Intensive Care Unit (PICU) * 3 or more chest physiotherapy procedures since hospitalisation * Parental refusal * Any chest physiotherapy contra-indication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delay for obtention of healing defined by all of these parameters at least 8 hours in a row : pulse oxymétry >94% AND normal feeding AND specific respiratory distress score lower than one as described in the protocol AND normal respiratory rate | obtention |
Secondary
| Measure | Time frame |
|---|---|
| Safety of the forced expiratory technique | during hospitalisation |
| Comparison of pulse oxymetry before/after chest physiotherapy | during hospitalisation |
| Quality of Life Scale | on discharge |
Countries
France
Outcome results
None listed