The effect of active chest physiotherapy techniques on regional ventilation on preterm infants on ventilatory support.
Mater Health Services
20 participants
Oct 5, 2006
Interventional
Conditions
Summary
Chest physiotherapy (CPT) is a standard component of multidisciplinary care of preterm infants receiving artificial ventilation for respiratory failure. Despite this, there is limited evidence concerning its effectiveness. This study aims to quantify the effects of the physiotherapy techniques of percussion and vibration on respiratory function in the preterm infant. Data from the electrical impedance tomography (EIT) and the multiple breath washout (MBW) will be downloaded directly onto a computer. The data analyst will be blinded as to the intervention.
Eligibility
Inclusion Criteria1
- Neonates who:are heavier than 750 gramsare less than or equal to 34 weeks gestationare >24 hours of age demonstrate clinical and/or radiological indications for active chest physiotherapy intervention such as increased secretions, increased ventilatory parameters, focal changes on chest x-ray.
Exclusion Criteria1
- Cardiopulmonary instability not allowing position changesPost surgical eg. Tracheoesophageal fistula, diaphragmatic hernia, gastroschisis, Spina BifidaKnown air leak syndrome (Pneumothorax, pulmonary interstitial emphysema)Poor skin integrityMothers under 18 years of age.
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Interventions
Active chest physiotherapy techniques of cupping and vibrations will be compared with each other in a random order. The techniques will be performed for 1 minute and then the infants will be postioned and left to rest for 4 hours before the other intervention is performed.
Locations(1)
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ACTRN12606000211561