Influence of Techniques of Chest Physiotherapy in the Pediatric Intensive Care

Influence of Techniques of Chest Physiotherapy on the Respiratory Status and the Hemodynamic Impact in the Pediatric Intensive Care

The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.

Inclusion Criteria:

• Child < 10 kg
• Hospitalization in the pediatric intensive care
• Presence of an atelectasis to the radiography and/or to the lung ultrasound
• Presence of an invasive ventilation or a non-invasive ventilation
• Criteria of cardio-respiratory stability met

Exclusion Criteria:

• Absence of the physiotherapist and the radiologist referents (by ex: at night)
• Prematurity
• Neuromuscular disease
• Ventilation by high-frequency oscillation
• Extraphysical Assistance
• Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible
• Intracranial pressure > 20 mmHg or clinical signs of intracranial high blood pressure