The Use of Vibrational Methods of Influencing the Lungs to Restore Their Functional State

Study Overview
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Brief Summary
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There will be formed of groups for application of vibration methods on the lungs: the method of vibroacoustic lung massage using the BARK VibroLUNG device; the method of oscillating PEP therapy using Acapella DH Green; the method of hardware stimulation of cough with a mechanical insufflator-aspirator Comfort Cough Plus (Comfortable cough Plus). As a control group, classical manual chest massage with percussion and verbal stimulation of cough against the background of chest compressions with a total duration of 15 minutes will be used

Detailed Description
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The patient signs an informed consent to participate in the study after 10-12 hours tracheal extubation and transfer of the patient to spontaneous respiration. The application of one or another method of influence is carried out by the method of random sampling (the envelope method). Next, a session is conducted using one of the methods of vibrational respiratory therapy. We are exploring the gas composition of arterial blood is examined, spirometry, and the respiratory rate is measured after 20 minutes of the procedure. Further, respiratory therapy sessions are repeated 3 times a day for three days

Official Title
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The Use of Vibrational Methods of Influencing the Lungs to Restore Their Functional State After Major Reconstructive Cardiac Surgery

Conditions
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Respiratory Failure

Intervention / Treatment
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* Procedure: prevention of respiratory failure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age from 18 years to 80 years inclusive. Performed cardiac surgery in IC conditions. The patient's consent to participate in this study. Exclusion Criteria: Lack of productive contact with the patient Any disorder in the central nervous system in the perioperative period (acute cerebrovascular accident, coma, posthypoxic encephalopathy), being on a ventilator. Unstable hemodynamics or hemodynamically significant rhythm disturbances Shocks of various etiologies Inability to provide respiratory protection, high risk of aspiration Refusal of the patient to participate in this study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: the first group: the method of vibroacoustic lung massage using the BARK VibroLUNG device<br>dynamics blood saturation by pulse oximeter,minute inspiratory lung volume befor/after research | Procedure: prevention of respiratory failure<br>* Positive dynamics during CT or X-ray examinations in the form of reduction of hypoventilation zones, straightening of lung tissue<br>|
| Experimental: the second group:the method of oscillating REР therapy using Acapella DH Green<br>dynamics blood saturation by pulse oximeter,minute inspiratory lung volume befor/after research | Procedure: prevention of respiratory failure<br>* Positive dynamics during CT or X-ray examinations in the form of reduction of hypoventilation zones, straightening of lung tissue<br>|
| Experimental: the third group:the method of hardware stimulation of cough (Comfortable cough Plus)<br>dynamics blood saturation by pulse oximeter,minute inspiratory lung volume befor/after research | Procedure: prevention of respiratory failure<br>* Positive dynamics during CT or X-ray examinations in the form of reduction of hypoventilation zones, straightening of lung tissue<br>|
| Experimental: the fourth group:classical manual chest massage with percussion<br>dynamics blood saturation by pulse oximeter,minute inspiratory lung volume befor/after research | Procedure: prevention of respiratory failure<br>* Positive dynamics during CT or X-ray examinations in the form of reduction of hypoventilation zones, straightening of lung tissue<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the minute inspiratory lung volume | Comparison of minute inspiratory lung volume befor/after research using a spirometer | hospitalisation period, an average of 1 week | 
| arterial blood oxygenation level | Comparison arterial blood oxygenation level before/after researchin the study of arterial blood | hospitalisation period, an average of 1 day | 
| SpO2 more than 92% | Comparison of SpO2 by pulse oximeter befor/after research (SpO2>92%) | hospitalisation period, an average of 3 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the number of complications | Comparison of the number of complications befor/after research | hospitalisation period, an average of 1 week | 
| assessment of the duration of hospital stay | Comparison of assessment of the duration of hospital stay befor/after research | hospitalisation period, an average of 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medical rehabilitation; oxygenation