Efficacy of the addition of positive airway pressure to conventional chest physiotherapy in resolution of pleural effusion after drainage: protocol for a randomised controlled trial

Journal of Physiotherapy
Elinaldo da Conceição Dos Santos, Adriana Claudia Lunardi

Abstract

Chest drainage for pleural effusion can cause pain and changes in respiratory function. It can also increase the risk of pulmonary complications and impair functional ability, which may increase length of hospital stay and the associated costs. For these reasons, surgical and clinical strategies have been adopted to reduce the duration of chest drainage. To evaluate the efficacy of the addition of intermittent positive airway pressure applied by the Muller reanimator via a rubber facial mask versus conventional physiotherapy on the duration of chest drainage (primary objective), and its effect on the recovery of respiratory function, length of hospital stay and incidence of pulmonary complications (secondary objectives). Randomised, controlled trial. Inpatients with pleural effusion, aged over 18 years, who have had chest drainage in situ for < 24hours will be recruited from two university hospitals. Patients will be excluded if they have any contraindication for the use of non-invasive positive airway pressure. After initial assessments of lung function, 156 patients will be randomised into a positive airway pressure group (positive airway pressure at 15 cmH2O plus conventional chest physiotherapy), a conventional chest physio...Continue Reading

Associated Clinical Trials

Citations

Jun 13, 2015·Systematic Reviews·Elinaldo da Conceição Dos Santos, Adriana Claudia Lunardi
Nov 1, 2018·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Elinaldo da Conceição Dos SantosAdriana Claudia Lunardi
May 9, 2016·The Cochrane Database of Systematic Reviews·Amelia O CliveNick Maskell

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