Clinical trial NCT02472041: Effectiveness of Reanimator Muller in Patients With Chest Tube
Official title: Effectiveness of Reanimator Muller in Patients With Chest Tube
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
PHASE3
Conditions: Mechanical Ventilation Complication
Keywords: chest drain
Lead sponsor: University of Campinas, Brazil
Sponsor class: OTHER
First posted: 2015-06-15
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study evaluates the comparison of two of re-expansion pulmonary physiotherapy in patients with chest tube. The study group received intermittent positive pressure intervention and the control group received incentive spirometry intervention associated with manual operation.

Detailed description: All the re-expansion methods increase lung volume increasing gradient of transpulmonary pressure (PL) representing the difference alveolar pressure and pleural pressure. Spontaneous deep breath increases the PL by reducing pleural pressure (active breathing exercises, breathing supporters and manual operation).

Muller resuscitator consists of a pneumatic valve feature designed to operate with medical oxygen. It is used intermittently or continuously for pulmonary re-expansion, with lower load imposed work, and increase the efficiency of gas exchange by improving volumes, lung capacity and breathing pattern, and reverse atelectasis.

However, studies show the paucity of data in the literature regarding the Muller Resuscitator in different forms and respiratory rehabilitation protocols. In addition, studies show lack of standardization of methods and resources used in respiratory therapy in patients with chest tube.

Eligibility criteria: Inclusion Criteria:

* Patients with old more 18 years untill 65 years
* Patients undergoing thoracic drainage
* That does not include in any exclusion criteria

Exclusion Criteria:

* Contraindications breathing equipment use positive pressure

  * Patient intolerance
  * Phobia
  * Hemodynamic instability
  * Use of vasopressiva therapy
  * Shock (systolic pressure \<90 mmHg)
  * Face trauma
  * Nausea or vomiting
  * Acute myocardial infarction
  * Lobectomy
  * Lung cancer
  * Gastrointestinal surgery
  * Pleural fistula.

Primary outcomes:
measure: Change Respiratory function
timeFrame: before the intervention (pre) and after drain removal the tube (pos) for 30 days
Secondary outcomes:
measure: Saturation Oxygen
timeFrame: 30 days
Other outcomes:
measure: Pain
timeFrame: 30 days
measure: Hospitalization stay
timeFrame: 30 days
measure: Time length chest drain
timeFrame: 30 days
measure: dyspnea
timeFrame: 30 days
Locations:
city: Passos
country: Brazil
facility: Hospital santa Casa de Passos
state: Minas Gerais
city: Campinas
country: Brazil
facility: Hospital da Clínicas de campinas
state: Sao Paulo
Study officials:
affiliation: University of Campinas, Brazil
name: Ana Paula R Dos Anjos, mestranda
role: PRINCIPAL_INVESTIGATOR
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