Atelectasis, Children, Intensive Care Unit
Conditions
Brief summary
Statement of the problem: • Does the thoracic block technique has effect on atelectasis in Children on Mechanical Ventilation? Null hypothesis: • there is effect of thoracic block technique on atelectasis in children on Mechanical ventilation.
Detailed description
Subjects: The study targets the children from both sexes. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital intensive care units ,Cairo to participate in the study Study design: Randomized controlled clinical trial. A. Inclusion criteria: 1. age range from 6 months to 4 years . 2. diagnosed with pneumonia, receiving Mechanical ventilation. 3. start from second day of admission to intensive care unit. 4. have unilateral mild to moderate atelectasis according to medical referral . 5. should be vitally stable during the session. B. Exclusion criteria: The children will be excluded from the study if they had one of the following: 1. medically unstable ( examples: tachycardia and tachypnea). 2. uncontrolled convulsion. 3. irritable or moderate to sever pain 4. rib fracture 5. pneumothorax Children will be assessed by measuring heart rate, respiratory rate, chest x-ray, arterial blood gases,dynamic compliance, oxygen saturation index before and after ten days of receiving intervention
Interventions
Manual compression of the healthy lung during expiration associated with the use of invasive or non invasive mechanical ventilation
Percussion, vibration and postural drainage
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Months to 4 Years
Healthy volunteers
No
Inclusion criteria
1. age range from 6 months to 4 years . 2. diagnosed with pneumonia, receiving Mechanical ventilation. 3. start from second day of admission to intensive care unit. 4. have unilateral mild to moderate atelectasis according to medical referral. 5. should be vitally stable during the session. B.
Exclusion criteria
The children were excluded from the study if they had one of the following:
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of heart rate and respiratory rate | 10 days for each participant | Assessment of change in heart rate and respiratory rate will be carried out by using electro cardiograph electrodes and pulse oximeter. |
| Assessment of atelectasis in chest x ray | 10 days for each participant | Assessment of atelectasis in chest x ray will be carried out by comparing presence, extent and distribution of atelectasis in x ray film before and intervention |
| Assessment of arterial blood gases test | 10 days for each participant | Assessment of change in arterial blood gases test will be carried out by comparing results before and after intervention |
Countries
Egypt
Outcome results
None listed