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Randomized clinical trial, conducted in the Intensive Care Unit of the Hospital de Clinicas de Porto Alegre from october 2011 until november 2015 .
Objective: To compare the effectiveness of techniques: vibrocompression (G1), hyperinflation with mechanical ventilation (G2) vibrocompression + hyperinflation with mechanical ventilation (G3) in the amount of aspirated secretions, mechanical ventilator time, incidence of ventilator-associated pneumonia , reintubation tracheal and mortality in mechanical ventilator. Primary outcome: weight in grams of the aspirated secretions. Secondary outcome: hemodynamic and pulmonary parameters: heart rate, respiratory rate, mean arterial pressure, peripheral arterial oxygen saturation; peak inspiratory pressure, tidal volume; dynamic compliance ; mechanical ventilator time; reintubation tracheal; Incidence of ventilator-associated pneumonia and mortality in mechanical ventilator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vibocompression (VB) | Active Comparator | Grup 1 - Vibrocompression: Is a physical therapy technique, that aims to clear the airways of patients on mechanical ventilation. Through the thoracic compression during expiration |
|
| Hyperinflation (HMV) | Active Comparator | Grup 2 - Hyperinflation with Mechanical ventilator: Is a physical therapy technique, that aims to clear the airways of patients on mechanical ventilation. Through the increase in inspiratory pressure ventilator . |
|
| HMV+VB | Experimental | Grup 3 - Hyperinflation with mechanical ventilator and vibrocompression:Is a physical therapy technique, that aims to clear the airways of patients on mechanical ventilation. Through the thoracic compression during expiration and the increase in inspiratory pressure ventilator. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vibrocompression (VB) | Other | Vibrocompression is a physical therapy technique, that aims to clear the airways of patients on mechanical ventilation (MV) |
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| Measure | Description | Time Frame |
|---|---|---|
| Weight in grams of the pulmonary secretions | up to 24 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Time mechanical ventilator (MV) in days | Through study completion, an average of 3 years. | |
| Reintubation tracheal in percentage in the last 24 hours | Through study completion, an average of 3 years. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Silvia R Rios Vieira, Dr | HCPorto Alegre, Rio Grande do Sul - Brazil | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24626270 | Result | Naue Wda S, Forgiarini Junior LA, Dias AS, Vieira SR. Chest compression with a higher level of pressure support ventilation: effects on secretion removal, hemodynamics, and respiratory mechanics in patients on mechanical ventilation. J Bras Pneumol. 2014 Jan-Feb;40(1):55-60. doi: 10.1590/S1806-37132014000100008. |
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|
| Hyperinflation (HMV) | Other | Hyperinflation technique with mechanical ventilator which aims to clear the airways of patients on mechanical ventilation |
|
|
| HMV+VB | Other | Association between Vibrocompression and Hyperinflation with mechanical ventilator |
|
|
| Incidence of ventilator-associated pneumonia in percentage | Through study completion, an average of 3 years. |
| Mortality in the MV in percentage | Through study completion, an average of 3 years. |
| Heart Rate | up to 24 weeks. |
| Respiratory frequency | up to 24 weeks |
| Peripheral oxygen saturation in percentage | up to 24 weeks |
| Tidal volume in milliliters | up to 24 weeks |
| Peak inspiratory pressure in centimeters of water | up to 24 weeks |