Influence of Techniques of Chest Physiotherapy in the Pediatric Intensive Care

Cliniques universitaires Saint-Luc- Université Catholique de Louvain80 enrolled

Overview

The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Atelectasis

Interventions

Autogenic drainageDEVICE

The manual technique of the chest physiotherapy to move the secretions

Intrapulmonary percussive ventilationDEVICE

The instrumental technique of the chest physiotherapy to move the secretions

Eligibility

Sex: ALLMax age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Child \< 10 kg * Hospitalization in the pediatric intensive care * Presence of an atelectasis to the radiography and/or to the lung ultrasound * Presence of an invasive ventilation or a non-invasive ventilation * Criteria of cardio-respiratory stability met Exclusion Criteria: * Absence of the physiotherapist and the radiologist referents (by ex: at night) * Prematurity * Neuromuscular disease * Ventilation by high-frequency oscillation * Extraphysical Assistance * Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible * Intracranial pressure \> 20 mmHg or clinical signs of intracranial high blood pressure

Locations (1)

Unnamed facility

Brussels, Belgium

RECRUITING

Outcomes

Primary Outcomes

Change from baseline Atelectasis scores at 20 min

Each atelectasis has a thoracic ultrasound

Time frame: Baseline and at 20 min

Change from baseline cardiac frequency at 20 min, 30 min, 50 min, 80 min

Stability of the parameters