What is the Effective Pulmonary Physiotherapy Method in Critically Care Patients?

Study Overview
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Brief Summary
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Effects of the high frequent chest wall oscillation technique applied on the patients who were intubated in intensive care unit were investigated. A total of 30 patients who were intubated and under the mechanical ventilator supplied, were included in the study. While the control group (n=15) received routine pulmonary rehabilitation technique, the study group (n=15) was administered high frequency chest wall oscillation for 72 hours as 4 times of 15-minute intervals, in addition to the pulmonary rehabilitation technique. Patients 'APACHE-II scores, dry sputum weight, Lung Collapse Index and blood gas values were measured at the hours 24th, 48th and 72nd, and endotracheal aspirate culture was studied at initial and 72nd. In addition, patient outcomes were evaluated at the end of the first week.

Official Title
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Can High Frequency Chest Wall Oscillation Accelerate the Discharged of Intubated Intensive Care Patients?

Conditions
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Atelectasis

Intervention / Treatment
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* Device: routine pulmonary rehabilitation
* Device: chest wall vibration technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged over 18 years Patients with more than three days intubated, in critical care unit of Mengücekgazi Training and Research Hospital Exclusion Criteria: Patients with rib fracture acute hemorrhage unstable intracranial pressure existence of chest drainage tube and those have history of spinal surgery, skin infection in the back and chest area and subcutaneous emphysema

Ages Eligible for Study
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Minimum Age: 18 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: routine pulmonary rehabilitation<br>routine pulmonary rehabilitation consisted of position giving technique | Device: routine pulmonary rehabilitation<br>* received routine pulmonary rehabilitation consisted of position giving technique (left lateral, supine, right lateral), chest wall percussion, postural drainage and airway aspiration at every 3 hours.<br>Device: chest wall vibration technique<br>* administered chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours. Chest vibration method was applied with 7-10 hz frequency given by a ped wrapped around the thorax and pulmonary rehabilitation with 3 mmHg pressure four times a day with 15-minute periods (TheVest® Model 205).<br>|
| Active Comparator: chest wall vibration technique<br>chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours. | Device: routine pulmonary rehabilitation<br>* received routine pulmonary rehabilitation consisted of position giving technique (left lateral, supine, right lateral), chest wall percussion, postural drainage and airway aspiration at every 3 hours.<br>Device: chest wall vibration technique<br>* administered chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours. Chest vibration method was applied with 7-10 hz frequency given by a ped wrapped around the thorax and pulmonary rehabilitation with 3 mmHg pressure four times a day with 15-minute periods (TheVest® Model 205).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from baseline of Lung Collapse Index (LCI) values were recorded by listening both the lungs and scoring between 0 and 4 (0: normal expansion, 1: single lobe collapse, 2: 2 lobe collapse, 3: multiple lobe collapse) at six month |  | six month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| weight of the dry sputum after six month |  | six month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pulmonary Rehabilitation, Chest Physiotherapy, High Frequency Chest Wall Oscillation