Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06551636
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-05-20
Brief Title:
Effects on the Expiratory Flow of AAD in a Critical Patient With IMV
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Effects on the Expiratoriy Flow of Assisted Autogen Drainage in a Critical Patient Wtih Invasive Mechanical Ventilation
Status:
COMPLETED
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
One of the detrimental effects of invasive mechanical ventilation IMV is the alteration of the patients mucociliary system that requires ventilatory support The consequence of poor drainage of secretions triggers secretion retention atelectasis and ventilator-associated pneumonia VAP Respiratory physiotherapy in the intubated patient facilitates the mobilization of retained and impacted secretions in the bronchial tree decreasing resistance improving lung compliance and decreasing respiratory muscle work
The main objective of the present study is to measure the expiratory flow generated by the application of the DAA technique in the intubated patient during after at the end of the technique and at two hours As secondary objectives it is proposed to observe whether the application of the DAA maneuver in the patient with IMV improves oxygenation produces changes in respiratory mechanics improves air entrapment decreases exhaled volume post DAA and analyzes the tolerance of DAA in IMV-conscious patients The study will be performed on patients admitted to the Intensive Care Unit ICU of the Parc Taulí University Hospital in Sabadell with IMV requirements The intervention will consist of performing a respiratory physiotherapy session as usual in the daily clinical practice of the ICU specifically the technique of assisted autogenous drainage before during and after the Better CareTM platform will be used to continuously record the physiological variables necessary for the study
The main objective of the present study is to measure the expiratory flow generated by the application of the DAA technique in the intubated patient during after at the end of the technique and at two hours As secondary objectives it is proposed to observe whether the application of the DAA maneuver in the patient with IMV improves oxygenation produces changes in respiratory mechanics improves air entrapment decreases exhaled volume post DAA and analyzes the tolerance of DAA in IMV-conscious patients The study will be performed on patients admitted to the Intensive Care Unit ICU of the Parc Taulí University Hospital in Sabadell with IMV requirements The intervention will consist of performing a respiratory physiotherapy session as usual in the daily clinical practice of the ICU specifically the technique of assisted autogenous drainage before during and after the Better CareTM platform will be used to continuously record the physiological variables necessary for the study
Detailed Description:
Ventilated air blown into the bronchial shaft through the orotracheal tube OT causes ciliary dyskinesia by decreasing the rate of progression of secretions to the proximal pathways The consequence of poor drainage of secretions is triggered by retention of secretions atelectasis and ventilator-associated pneumonia VAP
Humidification and heating of the air with devices added to the imv together with respiratory physiotherapy aim to prevent and or treat respiratory complications Respiratory physiotherapy in the intubated patient facilitates the mobilization of retained and impacted secretions in the bronchial tree helping to decrease resistance improve lung compliance and decrease respiratory muscle work
Respiratory physiotherapy consists of a variety of devices and manual techniques to improve secretion drainage ventilatory mechanics and gas exchange
The lack of scientific evidence on the effect and efficacy of respiratory physiotherapy in the patient with imv makes it difficult for the physiotherapist to perform his task with certainty of the impact of the intervention on lung physiology Published clinical guidelines recommend the application of respiratory physiotherapy techniques to critically ill patients but the need to demonstrate their effects with well-designed quality studies and conclusive results is emphasized
The aim of this study is to analyze the effect of the technique developed by the Belgian physiotherapist Jean Chevaillier called assisted autogen drainage AAD on the intubated patient
AAD is defined as a secretion drainage technique where the goal is to create a sufficiently sustained homogeneous and synchronous expiratory flow increasing speed and seeking an erosion effect on secretions at different levels of the bronchial tree
In the review of the literature on respiratory physiotherapy in the area of critics and in patients with IMV articles have been found with different techniques such as hyperinsufflation techniques for increasing the expiratory flow such as squeezing or rib cage compression These demonstrate the safety of the techniques but there is controversy over the effect of maneuvers on the drainage of secretions and ventilatory mechanics The point of discussion in the discussion of the authors of the meta-analyzes and studies is the need for new studies evaluating the effectiveness of respiratory physiotherapy in lung mechanics
Hypothesis Respiratory physiotherapy applied through assisted autogenous drainage increases respiratory flow in the airways and therefore may modify respiratory mechanics and promote drainage in ventilated patients
Humidification and heating of the air with devices added to the imv together with respiratory physiotherapy aim to prevent and or treat respiratory complications Respiratory physiotherapy in the intubated patient facilitates the mobilization of retained and impacted secretions in the bronchial tree helping to decrease resistance improve lung compliance and decrease respiratory muscle work
Respiratory physiotherapy consists of a variety of devices and manual techniques to improve secretion drainage ventilatory mechanics and gas exchange
The lack of scientific evidence on the effect and efficacy of respiratory physiotherapy in the patient with imv makes it difficult for the physiotherapist to perform his task with certainty of the impact of the intervention on lung physiology Published clinical guidelines recommend the application of respiratory physiotherapy techniques to critically ill patients but the need to demonstrate their effects with well-designed quality studies and conclusive results is emphasized
The aim of this study is to analyze the effect of the technique developed by the Belgian physiotherapist Jean Chevaillier called assisted autogen drainage AAD on the intubated patient
AAD is defined as a secretion drainage technique where the goal is to create a sufficiently sustained homogeneous and synchronous expiratory flow increasing speed and seeking an erosion effect on secretions at different levels of the bronchial tree
In the review of the literature on respiratory physiotherapy in the area of critics and in patients with IMV articles have been found with different techniques such as hyperinsufflation techniques for increasing the expiratory flow such as squeezing or rib cage compression These demonstrate the safety of the techniques but there is controversy over the effect of maneuvers on the drainage of secretions and ventilatory mechanics The point of discussion in the discussion of the authors of the meta-analyzes and studies is the need for new studies evaluating the effectiveness of respiratory physiotherapy in lung mechanics
Hypothesis Respiratory physiotherapy applied through assisted autogenous drainage increases respiratory flow in the airways and therefore may modify respiratory mechanics and promote drainage in ventilated patients
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None