Clinical trial NCT02645695: What is the Effective Pulmonary Physiotherapy Method in Critically Care Patients?
Official title: Can High Frequency Chest Wall Oscillation Accelerate the Discharged of Intubated Intensive Care Patients?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Atelectasis
Keywords: Pulmonary Rehabilitation
Chest Physiotherapy
High Frequency Chest Wall Oscillation
Lead sponsor: Erzincan University
Sponsor class: OTHER
First posted: 2016-01-05
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: 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
timeFrame: six month
Secondary outcomes:
measure: weight of the dry sputum after six month
timeFrame: six month
Other outcomes:
Locations:
Study officials:
References:
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