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| Name | Class |
|---|---|
| University of Nove de Julho | OTHER |
| Hospital e maternidade São Luiz | UNKNOWN |
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The hypothesis of this study is that the physiologic effects of these (PEP/ HFOO) resources may have positive effects in this population of children with acute respiratory illness.
Thinking about this physical and physiological issue and due to the absence of a study that has evaluated the effectiveness of these instruments in patients with pneumonia, the objective of this study is to evaluate the short-term effects OOAF and mask of EPAP in children hospitalized for community-acquired pneumonia.
The pneumonia is characterized by an acute infectious and inflammatory process, usually compromises the alveoli, bronchioles and interstitial space difficulting hematosis and may be in some or all of the cells filled with liquid and blood cells. The accumulation of secretion occurs as a consequence of this infectious and inflammatory process and contributes to clinical worsening by increasing airway resistance.
Respiratory physiotherapy has been questioned in patients with pneumonia and recent clinical studies have shown that there is no benefit to these patients. Respiratory physical therapy in addition to manual techniques has in his repertoire instrumental resources such as therapeutic high-frequency oral oscillator (HFOO) and the mask of expiratory positive pressure (PEP). The hypothesis of this study is that physical and physiological effects of these resources may have positive effects in this population of children with acute respiratory illness. The aim of this study is to evaluate the short-term effects HFOO and mask of PEP in children hospitalized for community-acquired pneumonia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HFOO | Active Comparator | Children of the HFOO group will be subjected to two daily sessions of this resource which should be the same throughout her hospitalization with Shaker equipment. |
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| Assisted Coughing | Active Comparator | The children in the control group will be subjected to two daily sessions of assisted coughing. |
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| PEP | Active Comparator | The children will be subjected to PEP group two daily sessions of this resource which should be the same throughout her hospitalization with facial mask and valve Spring load with expiratory pressure of 10cmH2O. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEP | Other |
| ||
| HFOO | Other |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Severity Score | Will be assigned a severity score proposed based on other studies with clinical variables and diagnostic criteria. This score will vary from 0 to 18 points. Participants will be followed for the duration of hospital stay, an expected average of 4 or 5 days. | Change from Baseline Severity score at 4 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Peak Flow meter | Peak Flow will be held three measurements in standing position with nasal clip with MedicateTM equipment with ATS range (60 to 900lmin) adult and pediatric use. Participants will be followed for the duration of hospital stay, an expected average of 4 or 5 days. | Change from Baseline peak flow at 4 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Evelim LFD Gomes, PhD | Contact | 551136242572 | evelimfreitas@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Evelim FD Gomes, PhD | University of Nove de Julho | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital são Luiz Jabaquara | São Paulo | São Paulo | Brazil |
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| ID | Term |
|---|---|
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| Assisted Coughing | Other |
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