Mechanical Ventilation With and Without Postural Drainage in Burn Patients With ARDS

Study Overview
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Brief Summary
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Inhalation injury become a more common cause of death in burn patients but alone the smoke injury has low mortality rate. It is reported that a combination of smoke injury with cutaneous burn increases the mortality rate and predispose to Acute Respiratory Distress Syndrome. This experimental study aims to report the benefits of postural drainage on the respiratory system in burn patients. This study will determine the effects of postural drainage on oxygen saturation, airway clearance in burn patients with Acute Respiratory Distress Syndrome by comparing mechanical ventilation with and without the application of postural drainage. A randomized clinical trial will be conducted in the data and will be collected from the ICU of Jinnah Burn & Reconstructive Surgery Centre and Shafique Aziz Free Burn Centre through consecutive sampling through technique on 50 patients which will be allocated through sealed opaque enveloped into Group A and Group B. Pre and post treatment value of oxygenation and other variables for both group will be recorded by using APACHE II. Group A will be treated by postural drainage and mechanical ventilation for two consecutive days. Similarly, Group B will be treated by mechanical ventilation only. Data will be analyzed using SPSS software 25. After assessing the normality of data by the Shapiro-Wilk test, it will be decided either parametric or non-parametric tests will be used within a group or between two groups.

Official Title
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Effects of Mechanical Ventilation With and Without Postural Drainage on Oxygen Saturation, Airway Clearance in Burn Patients With Acute Respiratory Distress Syndrome

Conditions
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Burns (Physical Finding)

Intervention / Treatment
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* Other: Mechanical Ventilation
* Other: Mechanical Ventilation with Postural drainage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of both gender male and female are included. Patient age should be between 10-40 years Patients that are on mechanical ventilation Patients with inhalation injury Patients undergo mechanical ventilation for >48 hours Exclusion Criteria: Patient with no past medical history of Lung disease Subject with more than 80% of burn according to Rule of Nine Patients with cardiac instability such as recent Myocardial infarction, Unstable angina and severe hypotension and hypertension

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Mechanical Ventilation<br>Mechanical Ventilation | Other: Mechanical Ventilation<br>* Standard Protocol<br>|
| Experimental: Mechanical Ventilation with Postural drainage<br>Mechanical Ventilation with Postural drainage | Other: Mechanical Ventilation with Postural drainage<br>* This Group will be treated by postural drainage and mechanical ventilation for two consecutive days<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acute Physiology and Chronic Health Evaluation II | APACHE stands for Acute Physiology and Chronic Health Evaluation II which is mostly used in the ICU to check the severity of the disease. This score measures the seriousness of sickness and the adequacy of clinical medical services and the doctor's decision allowing more exact prognostic delineation of seriously sick patients. APACHE II an integer score from 0 to 71 is computed based on several measurements; higher scores correspond to more severe disease and a higher risk of death The tool consists of twelve physiological variables. From which we are using five variables are age, Respiratory rate, Oxygenation (FiO2, PaO2), Mean Arterial Pressure, Glasgow comma score, Temperature, Systolic Blood Pressure, Heart Rate, Arterial pH, Acute Renal Failure, History of organ failure other than this Mechanical ventilation or CPAP, gender, and sputum profiles were also included which are not the part of this scale. | SECOND DAY | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Respiration, Artifical Respiration, Postural drainage, Respiratory distress syndrome, Respiratory physiological phenomena