Atelectasis
Conditions
Brief summary
The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.
Interventions
The manual technique of the chest physiotherapy to move the secretions
The instrumental technique of the chest physiotherapy to move the secretions
Sponsors
Study design
Eligibility
Inclusion criteria
* Child \< 10 kg * Hospitalization in the pediatric intensive care * Presence of an atelectasis to the radiography and/or to the lung ultrasound * Presence of an invasive ventilation or a non-invasive ventilation * Criteria of cardio-respiratory stability met
Exclusion criteria
* Absence of the physiotherapist and the radiologist referents (by ex: at night) * Prematurity * Neuromuscular disease * Ventilation by high-frequency oscillation * Extraphysical Assistance * Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible * Intracranial pressure \> 20 mmHg or clinical signs of intracranial high blood pressure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compare the atelectasis scores | Baseline between thoracic ultrasound and chest x-ray | Compare the atelectasis scores between thoracic ultrasound and chest x-ray |
| Change from baseline Atelectasis scores at 20 min | Baseline and at 20 min | Each atelectasis has a thoracic ultrasound |
| Change from baseline cardiac frequency at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
| Change from baseline respiratory frequency at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
| Change from baseline systolic blood pressure at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
| Change from baseline diastolic blood pressure at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
| Change from baseline oxygen saturation at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
| Change from baseline expiratory CO2 at 20 min, 30 min, 50 min, 80 min | Baseline and at 20 min, 30 min, 50 min, 80 min | Stability of the parameters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of unexpected events | At 20 min | Pain, desaturation, accidentally extubation |
Countries
Belgium