The Use of Vibrational Methods of Influencing the Lungs to Restore Their Functional State

Petrovsky National Research Centre of Surgery240 enrolled

Overview

There will be formed of groups for application of vibration methods on the lungs: the method of vibroacoustic lung massage using the "BARK VibroLUNG" device; the method of oscillating PEP therapy using Acapella DH Green; the method of hardware stimulation of cough with a mechanical insufflator-aspirator Comfort Cough Plus (Comfortable cough Plus). As a control group, classical manual chest massage with percussion and verbal stimulation of cough against the background of chest compressions with a total duration of 15 minutes will be used

The patient signs an informed consent to participate in the study after 10-12 hours tracheal extubation and transfer of the patient to spontaneous respiration. The application of one or another method of influence is carried out by the method of random sampling (the envelope method). Next, a session is conducted using one of the methods of vibrational respiratory therapy. We are exploring the gas composition of arterial blood is examined, spirometry, and the respiratory rate is measured after 20 minutes of the procedure. Further, respiratory therapy sessions are repeated 3 times a day for three days

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

240

Conditions

Respiratory Failure

Interventions

prevention of respiratory failurePROCEDURE

Positive dynamics during CT or X-ray examinations in the form of reduction of hypoventilation zones, straightening of lung tissue

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age from 18 years to 80 years inclusive. 2. Performed cardiac surgery in IC conditions. 3. The patient's consent to participate in this study. Exclusion Criteria: 1. Lack of productive contact with the patient 2. Any disorder in the central nervous system in the perioperative period (acute cerebrovascular accident, coma, posthypoxic encephalopathy), being on a ventilator. 3. Unstable hemodynamics or hemodynamically significant rhythm disturbances 4. Shocks of various etiologies 5. Inability to provide respiratory protection, high risk of aspiration 6. Refusal of the patient to participate in this study

Locations (1)

Petrovsky Research National Center of Surgery

Moscow, Russia

Outcomes

Primary Outcomes

the minute inspiratory lung volume

Comparison of minute inspiratory lung volume befor/after research using a spirometer

Time frame: hospitalisation period, an average of 1 week

arterial blood oxygenation level

Comparison arterial blood oxygenation level before/after researchin the study of arterial blood

Time frame: hospitalisation period, an average of 1 day

SpO2 more than 92%

Comparison of SpO2 by pulse oximeter befor/after research (SpO2\>92%)

Time frame: hospitalisation period, an average of 3 day

Secondary Outcomes

the number of complications

Comparison of the number of complications befor/after research

Time frame: hospitalisation period, an average of 1 week

assessment of the duration of hospital stay

Comparison of assessment of the duration of hospital stay befor/after research

Time frame: hospitalisation period, an average of 1 week

Data from ClinicalTrials.gov

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