Effect Of Cough Assist Device On Hemodynamic Status And Oxygen Saturation For Ventilated Children

Cairo University50 enrolled

Overview

Statement of the problem: •Is there an effect of the cough assist device on Hemodynamic status and oxygen saturation for ventilated children? Null hypothesis There will be no effect of cough assist device on hemodynamic status and oxygen saturation for ventilated children.

Subjects: The study targets the children from both sexes.diagnosed with pneumonia in intensive care unit. Sample size estimation will be carried out to determine the recruited number of children, selected randomly from Cairo University pediatric specialized hospital, Cairo to participate in the study. Study design: Randomized controlled clinical trial. Children will receive intervention type randomly,25 child will receive traditional chest physical therapy (postural drainage, percussion and vibration, end expiratory pressure) and bed mobility exercise.and the other 25 child will receive cough assist device in addition to traditional chest physical therapy (postural drainage, percussion and vibration, end expiratory pressure) and bed mobility exercise. Children will be assessed by measuring heart rate, respiratory rate, blood pressure which reflect the physiological status, oxygen saturation,expired Tidal Volume and dynamic lung compliance which reflect clinical improvement of chest condition before and after receiving intervention

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pneumonia Childhood Intensive Care Unit Children

Interventions

Cough assist deviceDEVICE

Cough assist device Cough Assist clears secretions from the lungs by gradually applying positive air pressure to the airway and then rapidly shifting to negative air pressure . The resulting high expiratory flow simulates a deep, natural cough. Designed chest physical therapy Percussion, vibration, end expiratory pressure and bed mobility exercise.

Eligibility

Sex: ALLMin age: 4 YearsMax age: 9 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children of both sexes, with age ranged from 4-9 years old. 2. Children will diagnosed with pneumonia. 3. Children will intubated on mechanical ventilation. 4. All children should be vitally stable during the study period. Exclusion criteria: Exclusion Criteria: 1. Hemodynamically unstable child. 2. Child with diaphragmatic hernia. 3. Child with pneumothorax (if chest tube is present). 4. Child with raised intracranial pressure. 5. Child with recent upper Gastrointestinal surgery

Locations (1)

Cairo University

Cairo, Egypt

Outcomes

Primary Outcomes

Assessment of oxygen saturation

Pulse oximeter attached to the child and recorded oxygen saturation before and after intervention.

Time frame: 14 days for each participant or time of weaning

Assessment of expired Tidal Volume

Expired Tidal volume recorded from mechanical ventilation attached to the child before and after intervention

Time frame: 14 days for each participant or time of weaning

Data from ClinicalTrials.gov

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