Online ISSN: 2515-8260

Keywords : Congenital Heart Diseases [CHD]


Study Protocol for a Randomised Controlled Trial comparing the Effect of Lung Recruitment Manoeuvres as an adjunct to conventional Chest physiotherapy in Postoperative Paediatric Congenital Heart Disease patients on Mechanical Ventilation.

Dr. Lajwanti lalwani; Dr. Athuruddin kazi; Dr. Nazli quazi; Dr. Zahiruddin quazi; Dr.Abhay gaidhane; Dr. Amar taksande; Dr. Mangesh choudhari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2588-2597

Abstract- Background- Congenital heart diseases (CHD) are major congenital anomaly
that are present during birth. Repair and corrective surgeries are performed as a line of
treatment and is followed by chest physiotherapy(CPT) to prevent any pulmonary
complication.
Lung Recruitment manoeuvres (LRM) is an intervention mostly performed by anaesthetic
or respiratory therapist to recruit the alveoli that are expandable and to reduce the area of
atelectasis and increase the exchange of gases for patients on mechanical ventilation.
Comprehensive literature search was done and have not come across any studies showing
the efficacy of combined lung recruitment manoeuvre [LRM] and [CPT]. So study was
conducted with aim to compare the effect of LRM as an adjunct to CPT in post- operative
paediatric CHD patients on mechanical ventilation. A RCT.
Methodology-The design is randomised, parallel Superiority group, assessor-blinded,
controlled trial in postoperative paediatric congenital heart disease patients on Mechanical
Ventilator. The study aims to answer the research question comparing
standard(conventional)CPT with combined standard CPT along with lung recruitment

SAFETY AND EFFICACY OF LUNG RECRUITMENT MANOEUVRE AS AN ADJUNCT TO CHEST PHYSICAL THERAPY IN POST-OPERATIVE PAEDIATRIC CONGENITAL HEART DISEASE PATIENTS ON MECHANICAL VENTILATION. : AN INTERVENTIONAL STUDY.

Dr. Lajwanti Lalwani; Dr. Athuruddin Kazi; Dr. Nazli Quazi; Dr. Zahiruddin Quazi; Dr. Abhay Gaidhane; Dr. Manish Sonkusale; Dr. Amar Taksande

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1892-1901

INTRODUCTION-Paediatric Congenital heart diseases [CHD] after corrective surgeries are under regular chest physical therapy [CPT] care for preventing post-operative complication. Comprehensive literature search was done and have not come across any studies showing the efficacy of combined Lung Recruitment Manoeuvres [LRM] and [CPT]. so study was conducted with aim to assess safety and efficacy of LRM as an adjunct to CPT on oxygenation, ventilation and on adverse events in operative paediatric CHD patients on mechanical ventilation. METHOD & METHODOLOGY- 48 patients operated case of CHD in the age group of Two to Fourteen years intubated more than 6 hours were included in the study. Study populations were divided into two groups. Control Group (Group A) that received CPT and Interventional Group (Group B) that received CPT with LRM. Patients were assessed pre-treatment and 15 minutes post treatment on Oxygenation, Ventilation and adverse events during treatment. RESULT- There were statistically significant improvement in oxygenation and ventilation within the group with p<0.05.The study showed that there were no adverse events in both the groups. CONCLUSION- The oxygenation and ventilation improved in both the groups. No adverse events were observed in both groups. Both the interventions are safe and effective