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Completed

NCT Number: NCT02645695

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

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.

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Key information

Conditions

Atelectasis Lung Diseases Pulmonary Atelectasis Respiratory Tract Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

routine pulmonary rehabilitation

Device

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.

chest wall vibration technique

Device

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).

Primary outcomes

  1. 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

    Time frame: six month

Secondary outcomes

  1. weight of the dry sputum after six month

    Time frame: six month

Sponsors and collaborators

Lead sponsor

ILKE KUPELI

Other

Registry information

Official study title

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

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Jan 5, 2016
Registry last updated
Jan 5, 2016

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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