[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100577981":3},{"organization":4,"armGroups":7,"interventions":16,"overallOfficials":21,"centralContacts":22,"locations":28,"responsibleParty":42,"collaborators":21,"id":44,"slug":45,"hasResults":46,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":46,"sex":52,"minAge":53,"maxAge":54,"enrollmentInfo":55,"targetDuration":21,"studyType":58,"phases":59,"briefSummary":61,"conditions":62,"keywords":67,"overallStatus":31,"whyStopped":21,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":83},{"fullName":5,"class":6},"Assistance Publique - Hôpitaux de Paris","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"RCC applied in V-ACV","Doest't require description.",[12],"Other: Chest Physiotherapy by Rib Cage Compressions (RCC)",{"label":14,"type":6,"description":10,"interventionNames":15},"RCC applied in PS",[12],[17],{"type":6,"name":18,"description":19,"armGroupLabels":20,"otherNames":21},"Chest Physiotherapy by Rib Cage Compressions (RCC)","Bimanual Rib Cage Compressions (RCC) applied to the thorax only, with patients in a standardized position (supine with the head of the bed elevated to 35 degrees). The intervention is standardized in terms of the direction of force (posterior and downward) and the characteristics of the compression (brief and vigorous compressions at the beginning of expiration).",[14,9],null,[23],{"name":24,"role":25,"phone":26,"phoneExt":21,"email":27},"Guillaume Pr CARTEAUX, MD,PhD","CONTACT","01 45 17 86 38","guillaume.carteaux@aphp.fr",[29],{"facility":30,"status":31,"city":32,"state":21,"zip":33,"country":34,"countryCode":35,"cosmosGeoPoint":36,"geoPoint":41,"contacts":21},"Intensive Care Medicine Department Henri Mondor Hospital","RECRUITING","Créteil","94000","France","FR",{"type":37,"coordinates":38},"Point",[39,40],2.46569,48.79266,{"lat":40,"lon":39},{"type":43,"investigatorFullName":21,"investigatorTitle":21,"investigatorAffiliation":21,"oldNameTitle":21,"oldOrganization":21},"SPONSOR","100577981","lung-recruitment-during-chest-physiotherapy-in-mechanically-ventilated-patients-100577981",false,"NCT06805357","Lung Recruitment During Chest Physiotherapy in Mechanically Ventilated Patients","Evaluation of Lung Recruitment During Chest Physiotherapy in Mechanically Ventilated Patients","RECRUTKI","Inclusion Criteria:\n\n* Patient under assisted ventilation (in V-ACV or PSV) triggering all ventilator cycles\n* Patient deemed \" secretive \": requiring ≥ 2 tracheal aspirations every 3 hours\n* Patient (or relative) who has given consent to participate in the research\n* Patient covered by social security\n\nExclusion Criteria:\n\n* Age under 18 years\n* Legal guardian required\n* Recent cardiac and\u002For thoracic and\u002For abdominal surgery (\\\u003C 3 months)\n* Rib fracture(s)\n* Pneumothorax and\u002For presence of a chest drain\n* Recent neurosurgery (\\\u003C 3 months) and\u002For proven or suspected increased intracranial pressure (ICP)\n* Hemodynamic instability defined as: noradrenaline ≥ 1mg\u002Fh, adrenaline ≥ 0.5 mg\u002Fh, dobutamine ≥ 5γ\u002Fkg\u002Fmin.\n* Respiratory instability defined as: PEEP \\> 10 cmH2O and\u002For PaO2\u002FFiO2 \\\u003C 150 mm Hg\n* Pregnancy\n* Hemoptysis\n* Sever skin lesions (e.g., burns, Lyell's syndrome)\n* Patient under foreign health insurance","ALL","18 Years","100 Years",{"count":56,"type":57},40,"ESTIMATED","INTERVENTIONAL",[60],"NA","In intensive care, respiratory physiotherapy is an integral part of the daily care of patients under invasive mechanical ventilation. Its goals are to improve the clearance of bronchial secretions to allow for the resolution of atelectasis and alveolar recruitment, thereby enhancing respiratory mechanics and gas exchange. The most widespread technique in France is external expiratory compression of the chest.\n\nThe effectiveness of this technique depends on the selection of patients (it seems to be more effective in patients with higher secretion levels) and on the practical implementation of the technique (favoring brief and vigorous compressions at the beginning of expiration). However, the effect of the artificial ventilator settings, particularly the ventilatory mode used during the respiratory physiotherapy session, has never been evaluated. The two most commonly used ventilatory modes worldwide are Volume Assist Control Ventilation (V-ACV) and pressure support ventilation (PSV). In this unit, respiratory physiotherapy under artificial ventilation is performed daily on patients with artificial ventilation with abundant secretions, regardless of the ventilatory mode.",[63,64,65,66],"Intensive Care","Invasive Mechanical Ventilation","Chest Physiotherapy","Airway Clearance",[68,69,70,71,72,73],"ICU","Lung recruitment","Respiratory physiotherapy","Rib Cage Compressions (RCC)","mechanical ventilation","intensive care","2026-01-14",{"date":76,"type":77},"2026-01-15","ACTUAL",{"date":79,"type":77},"2024-07-23",{"date":81,"type":57},"2027-06-23",{"name":5,"class":6},1]