Lung Atelectasis
Conditions
Interventions
This is a randomized and controlled clinical trial. We included 30 infants (28 days of age to 24 months of age) on invasive mechanical ventilation for a period greater than or equal to 12 hours throu
E02.779
Sponsors
Faculdade de Medicina da Universidade de São Paulo
Faculdade de Medicina da Universidade de São Paulo
Eligibility
Age
28 Days to 2 Years
Inclusion criteria
Inclusion criteria: Infants with 28 days to 24 months of age; both genders; on invasive mechanical ventilation for a period greater than or equal to 12 hours through an orotracheal cannula; diagnosed with Atelectasis by a pediatric intensive care physician through clinical and imaging examination (chest x-ray and lung ultrasound); whose legal guardians have authorized the child's participation in the study through the Free and Informed Consent Form
Exclusion criteria
Exclusion criteria: Patients with bilateral atelectasis; any type of air leak syndrome (such as: subcutaneous emphysema, pneumothorax, pneumatocele, pneumomediastinum); pulmonary hemorrhage; diseases that cause bone fragility (costal osteoporosis and osteomyelitis); chest and/or lung bruises; subcutaneous pacemaker; treatment with anticoagulants for more than 72 continuous hours; hemodynamic instability; thrombocytopenia (<50,000 platelets); using a chest tube; with underlying neuromuscular or cardiac diseases and spinal deformities (kyphoscoliosis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: It is expected that the application of the Structured Respiratory Physiotherapy Protocol (PEFR) in the intervention group will promote a reduction in the Lung Ultrasound Score (LUS) with values ??of p<0.05, based on the observation of a variation in pre- and post-intervention measurements when compared to the control group;Outcome found 1: Significant differences were observed when comparing CG and GI before versus after intragroup respiratory physiotherapy. Regarding the LUS score in the CG, the difference between the medians (IQ25-75%) before respiratory physiotherapy [ 2 (1-3) ] and after respiratory physiotherapy [ 1 (1 -2.5)] in the CG was 1 , (p= 0.01) while in the GI, the difference between the medians (IQ25-75%) before respiratory physiotherapy [3 (2-3)] and after respiratory physiotherapy [1(0.5 -2)] was of 2 (p< 0.001). | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 2: It is expected that the application of the Structured Respiratory Physiotherapy Protocol (PEFR) in the intervention group (IG) will promote a greater reduction in the time of invasive mechanical ventilation, pneumonia associated with mechanical ventilation, length of stay in the pediatric and hospital ICU, with p values ?? 0.05) regarding time on invasive mechanical ventilation, pneumonia associated with mechanical ventilation, length of stay in the pediatric ICU and hospital. | — |
Countries
Brazil
Contacts
Public ContactPatrícia Camassuti
Faculdade de Medicina da Universidade de São Paulo
Outcome results
None listed