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Atelectatic children treated with intrapulmonary percussive ventilation via a face mask: clinical trial and

Thi Kim Yen Ha1, Thi Dung Bui, Anh Tuan Tran

  • 1Department of Physiotherapy, Paediatric Hospital No. 1, Ho Chi Minh City, Vietnam.

Pediatrics International : Official Journal of the Japan Pediatric Society
|June 26, 2007
PubMed

Insights

Intrapulmonary percussive ventilation (IPV) offers a safe and effective treatment for pediatric atelectasis, improving clinical symptoms and radiographic evidence in most cases. This noninvasive chest physiotherapy technique shows promise where standard treatments are lacking.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Therapy
  • Medical Devices

Background:

  • Persistent atelectasis in children lacks a definitive treatment.
  • Intrapulmonary percussive ventilation (IPV) is a potential noninvasive chest physiotherapy technique.
  • This study evaluates IPV for pediatric atelectasis resolution and safety.

Purpose of the Study:

  • To assess the effectiveness of noninvasive IPV in resolving atelectasis in young children.
  • To monitor the clinical and radiographic evolution of atelectasis during IPV treatment.
  • To identify any adverse effects associated with IPV in this pediatric population.

Main Methods:

  • Six children with suspected atelectasis received 15-minute IPV sessions twice daily for 5 days.
  • Chest X-rays (CXRs) were taken at baseline and after 5 days, with atelectasis scored by blinded specialists.
  • Clinical scores assessed symptoms like dyspnea and cough, with paired t-tests comparing baseline and final results.

Main Results:

  • All patients were discharged after 5 days of IPV.
  • Oxygen saturation (SpO2) improved significantly (P = 0.002), and clinical scores decreased (P < 0.05).
  • Radiographic evidence of atelectasis improved in 3 out of 4 patients, and CXR improved in 4 out of 5 children.

Conclusions:

  • Intrapulmonary percussive ventilation (IPV) demonstrated safety and efficacy in resolving pediatric atelectasis in 75% of cases.
  • No adverse effects were observed during the treatment.
  • Patients showed clinical improvement and stable condition, leading to successful discharge.
Abstract

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