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Completed

NCT Number: NCT05480202

Effect of Thoracic Block Technique on Atelectasis in Children on Mechanical Ventilation

Statement of the problem:

• Does the thoracic block technique has effect on atelectasis in Children on Mechanical Ventilation?

Null hypothesis:

• there is effect of thoracic block technique on atelectasis in children on Mechanical ventilation.

Completed

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Key information

Age range

6 month–4 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Cairo University

Cairo, Egypt

About this study

Subjects:

The study targets the children from both sexes. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital intensive care units ,Cairo to participate in the study

Study design:

Randomized controlled clinical trial.

A. Inclusion criteria:

  • age range from 6 months to 4 years .
  • diagnosed with pneumonia, receiving Mechanical ventilation.
  • start from second day of admission to intensive care unit.
  • have unilateral mild to moderate atelectasis according to medical referral .
  • should be vitally stable during the session.

B. Exclusion criteria:

The children will be excluded from the study if they had one of the following:

  • medically unstable ( examples: tachycardia and tachypnea).
  • uncontrolled convulsion.
  • irritable or moderate to sever pain
  • rib fracture
  • pneumothorax

Children will be assessed by measuring heart rate, respiratory rate, chest x-ray, arterial blood gases,dynamic compliance, oxygen saturation index before and after ten days of receiving intervention

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age range from 6 months to 4 years .
  • diagnosed with pneumonia, receiving Mechanical ventilation.
  • start from second day of admission to intensive care unit.
  • have unilateral mild to moderate atelectasis according to medical referral.
  • should be vitally stable during the session.

B. Exclusion criteria:

The children were excluded from the study if they had one of the following:

Exclusion criteria

The children were excluded from the study if they had one of the following:

  • medically unstable ( examples: tachycardia and tachypnea).
  • uncontrolled convulsion.
  • irritable or moderate to sever pain
  • rib fracture
  • pneumothorax

Treatment and study plan

Thoracic block technique

Other

Manual compression of the healthy lung during expiration associated with the use of invasive or non invasive mechanical ventilation

Other names: Technique of insufflation to reverse atelectasis

Designed chest physical therapy program

Other

Percussion, vibration and postural drainage

Primary outcomes

  1. Assessment of heart rate and respiratory rate

    Time frame: 10 days for each participant

    Assessment of change in heart rate and respiratory rate will be carried out by using electro cardiograph electrodes and pulse oximeter.

  2. Assessment of atelectasis in chest x ray

    Time frame: 10 days for each participant

    Assessment of atelectasis in chest x ray will be carried out by comparing presence, extent and distribution of atelectasis in x ray film before and intervention

  3. Assessment of arterial blood gases test

    Time frame: 10 days for each participant

    Assessment of change in arterial blood gases test will be carried out by comparing results before and after intervention

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jul 29, 2022
Registry last updated
Jul 29, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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