Effect of Rib Mobilization on Weaning Parameters From Mechanical Ventilator in Patients With Pneumonia

Launched by CAIRO UNIVERSITY · Feb 14, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at how a technique called rib mobilization might help patients with pneumonia who need to be on a mechanical ventilator, which is a machine that helps them breathe. The researchers want to see if rib mobilization can improve the way patients are able to breathe on their own compared to standard chest therapy. They will measure things like how fast a patient breathes and how much oxygen they are getting. The study will also track how long patients stay in the intensive care unit (ICU) and how successful they are at being weaned off the ventilator.

To be eligible for this trial, participants need to be between 40 and 50 years old, diagnosed with pneumonia, and require mechanical ventilation. They should also have stable oxygen levels and blood pressure. However, those with certain serious conditions, like unstable heart issues or severe neurological problems, will not be included. This trial is not yet recruiting participants, but it aims to help improve care for patients with pneumonia in the future by understanding the potential benefits of rib mobilization.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patient's age ranged from 40- 50 years old from both genders.
• • 2. Diagnosed with pneumonia and need invasive mechanical ventilation support.
• • 3. Stable oxygen saturation (SpO2 more than 85, (FiO2) 0.6 or less, PEEP less than 10 Cm H2O).
• • 4. mean arterial pressure \> 75 mmHg and urine output \> 1 mL/kg/h;
• • 5. Patients with Glasgow coma scale (GCS) \> 8T
• • 6. Unconscious and semi-conscious patients. -
• Exclusion Criteria:
• • 1. Unstable hemodynamics
• • 2. Unstable neurological problems e.g. (epileptic seizures -hyperthermia).
• • 3. Unstable chest wall e.g. (multiple rib or vertebral fractures)
• • 4. Increase intracranial pressure (\>20 mmHg for \>5 min).
• • 5. Undrained pneumothorax, recent pulmonary surgery