Bronchial Clearance Carried Out With a Mechanical In-exsufflator vs. a Manual Respiratory Physiotherapy Technique in Hospitalized Elderly People

Launched by UNIVERSITY HOSPITAL, CLERMONT-FERRAND · Dec 11, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at two different methods for helping older hospitalized patients clear mucus from their lungs, which can be a problem due to bronchial congestion. The two methods being compared are a Mechanical Insufflation-Exsufflation device, which uses a machine to help with breathing and coughing, and a manual technique where a therapist helps the patient to cough. The goal is to see which method is more effective in improving lung function and making it easier for patients to breathe.

To be eligible for this study, participants need to be 60 years or older, currently hospitalized, and have some difficulty with breathing that requires help clearing mucus. They should also be able to understand the study and give their consent to participate. Throughout the trial, participants can expect to receive either of the two treatments and will be monitored for how well they respond. This research is important because effective airway clearance can lead to better outcomes for elderly patients, who often struggle with respiratory issues.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged 60 or over, hospitalized in intensive care or conventional medicine, with bronchial congestion associated with peak expiratory flow \< 180 L/min, justifying respiratory physiotherapy management.
• • Montreal Cognitive Assessment (MoCA) score ≥ 26
• • Able to give consent
• • Membership of a Social Security scheme.
• Exclusion Criteria:
• • Neuromuscular pathologies
• • Spinal cord injury patients
• * Contraindication to the use of a mechanical insufflator:
• • history of bullous emphysema, surgical emphysema, pneumothorax - undrained,
• • recent barotrauma,
• • tracheoesophageal fistula,
• • bronchospasm,
• • hemodynamic instability,
• • Refusal to participate.
• • Inability to cough on command
• • Pregnant and breast-feeding women
• • Persons under curatorship, guardianship, deprivation of liberty or legal protection.