Cystic Fibrosis
Conditions
Keywords
Hypertonic saline, Lung physiotherapy
Brief summary
Background Nebulised hypertonic saline (HS) is an established basic airway clearance treatment in Cystic Fibrosis (CF). However, there is scarce evidence regarding the practical implementation and administration of different HS volumes, including physiotherapy and aspects of breathing pattern. The aim of the study was to implement standardised and age-adjusted nebulised volumes of hypertonic saline in cystic fibrosis patients, included in physiotherapy and lung drainage techniques.
Detailed description
Aims: To establish a safe, efficient routine for implementation of HS in daily treatment and to investigate the efficiency and tolerance of high volumes of HS integrated with chest physiotherapy. HS was given twice daily with volumes of 4,5 ml in children aged 0-5 years, 6 ml at age 6-16 years and 9 ml at age \> 16 years. The protocol included guidance of standardized breathing pattern, upright and sideways positioning and voluntary cough.
Interventions
1 mmol/ml hypertonic saline given from (small children) 1,5 ml in 3 positions twice daily increasing to (children) 2 ml in 3 positions twice daily and up to (adults) 3 ml in 3 positions twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Cystic fibrosis
Exclusion criteria
* Non-adherence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tolerance and safety of high volumes of inhaled hypertonic saline measured by forced expiratory volume at one second | 24 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Implementation of nebulised high volumes of hypertonic saline in cystic fibrosis patients | 24 months | Establishment of a standardized routine of nebulised high volumes of hypertonic saline including chest physiotherapy in cystic fibrosis patients |
Countries
Norway