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Study aim
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The effect of routine chest physiotherapy and expiratory techniques on oxygenation and expiratory volume of preterm infants with respiratory distress syndrome
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Design
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Clinical trial, unblinded, Simple randomized.
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Settings and conduct
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the neonatals with entry criteria in the NICU of Afzalipur hospital, Kerman, where the diagnosis of the syndrome was based on history, examination and clinical symptoms including respiratory rate, breathing pattern, paraclinical including arterial blood gases (ABG), radiology and also the use of ventilator by doctor. First, the work steps will be fully explained to the families of premature newborns, and the consent form and questionnaire will be completed by their families. Then the neonatals are randomly assigned to two groups.
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Participants/Inclusion and exclusion criteria
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Entry criteria:
Premature infants weighing less than 3 kg;
Age between 32-37 weeks of pregnancy;
RDS diagnosed by a specialist doctor;
On the first 28 days of birth;
Be intubated;
There is no known cardiac or neurological problem or candidate for surgery; The neonatal girl or boy;
No entry criteria:
Unwillingness to enter the study
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Intervention groups
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Group of routine chest physiotherapy including: chest vibration, percussion, pastural drainage
Group of exhalation techniques including: prolonged slow expiratory, expiratory flow increased, lung squeezing technique and vojta with routine chest physiotherapy
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Main outcome variables
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Expiratory volume(Vte), hemoglobin saturation O2sat., The duration of intubation, Inspiration Rate, Fio2, Mean airway pressure(MAP) during the entire inspiratory and expiratory time, PEEP, PIP.