- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06320483
Evaluation of the Effectiveness and Safety of Vibro-acoustic Pulmonary Therapy (VAPT) in Complex Therapy for Acute Respiratory Failure of Mixed Type I-II Stages in Comparison With Percussion Massage in Cardiac Surgical Patients in the Early Postoperative Period
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Timur Karyshev
- Phone Number: +77017193485
- Email: sayranych@mail.ru
Study Locations
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Astana, Kazakhstan
- Recruiting
- JSC "National Research Cardiac Surgery Center"
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Contact:
- Makhabbat Sansyzbaeva
- Phone Number: +7(7172)703158
- Email: cardiacsurgery@heartcenter.kz
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Principal Investigator:
- Timur Sayranovich
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Atyrau, Kazakhstan
- Recruiting
- State-owned public enterprise with the right of economic management "Atyrau Regional Cardiology Center"
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Contact:
- Marat Konysov
- Phone Number: +7(7122)50-69-26
- Email: cardiocenter@atyraumed.kz
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Sub-Investigator:
- Zhangeldy Kadirov
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Oral, Kazakhstan
- Recruiting
- State-owned public enterprise with the right of economic management "Regional Cardiology Center"
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Contact:
- Aktilek Umirbaev
- Phone Number: + 7701 338 35 04
- Email: kardio-zko@mail.ru
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Sub-Investigator:
- Daniyar Arenov
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Pavlodar, Kazakhstan
- Recruiting
- State-owned public enterprise with the right of economic management "Pavlodar Regional Cardiology Center"
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Contact:
- Gulzhanat Dzhakova
- Phone Number: +7(7182)39-08-00
- Email: info@cardiomedical.kz
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Sub-Investigator:
- Inna Glowacka
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Ust-Kamenogorsk, Kazakhstan
- Recruiting
- State-owned public enterprise with the right of economic management "East Kazakhstan Regional Hospital"
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Contact:
- Erlan Burkutov
- Phone Number: +7(7232)25-60-34
- Email: vko_obl@mail.ru
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Sub-Investigator:
- Olesya Subbotina
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age from 18 years to 80 years inclusive
- Body mass index from 18.5 to 35
- Physical status according to ASA II to ASA III (inclusive)
- Performed planned cardiac surgery (CS) under general anaesthesia with tracheal intubation and mechanical ventilation lasting more than 3 hours using a heart-lung machine (no more than 120 minutes)
- Left ventricular injection fraction before surgical treatment is above 40%
- Development of postoperative mixed ARF grade 1-2 (clinical criteria). SpO2 less than 95% with FiO2 21%.
Stable-severe condition of the patient according to vital signs:
- stable hemodynamics (norepinephrine and/or adrenaline less than 0.15 mcg/kg/min, and/or dobutamine less than 10 mcg/kg/min, and/or no need for vasopressin (ADH) for 6 hours or more)
- absence of acute kidney injury (urine output more than 500 ml/day)
- stable respiratory dynamics.P/F more than 150 units, SpO2 more than 70% with FiO2 21%.Tracheal extubation within 8 hours of completion of surgery
- absence of critical coagulopathy (platelets more than 50 units/l)
- absence of acute cerebral insufficiency (GCS more than 12 points)
- absence of acute liver failure (bilirubin less than 30 units/l)
- Relieved postoperative pain syndrome and delirium (NRS less than 5 points, BPS less than 6 points, CAM-ICU (-), RASS -3-0 points).
Exclusion Criteria:
- The presence of implanted or external medical electronic-mechanical devices in the impact projection (pacemaker, circulatory support devices, etc.);
- Severe hypocoagulation, risk of hematoma formation or bleeding in the projection of exposure;
- Severe hypercoagulation, risk of formation and/or migration of blood clots or emboli along the great vessels in the projection of exposure;
- Acute cerebrovascular accident (ACB), first 1-3 days;
- Cerebral Edema;
- High intracranial pressure;
- The presence of many purulent or burn wound surfaces in the projection of exposure;
- Presence of an unstable rib fracture;
- Pneumohemomediastinum and/or subcutaneous emphysema of the chest;
- Risk of development of hemo-pneumothorax;
- Osteomyelitis of the ribs and/or thoracic spine;
- Spinal fracture without orthopedic fixation;
- Trauma to the chest or abdomen with bleeding;
- High risk of seizures (CNS pathologies);
- The presence of an oncological process in the projection of exposure with destruction of tumor tissue and the risk of bleeding and/or metastasis;
- The presence of endothoracic and/or large endovascular implants (aortic stents, intra-aortic balloon pumps, endocardial catheters, mechanical heart valves, vena cava filters, subcutaneous venous ports, permanent hemodialysis devices);
- Heart rhythm disturbances (ventricular fibrillation, ventricular tachycardia);
- Hypovolemia;
- Disturbances of water-electrolyte balance and acid-base balance;
- Meningoencephalitis;
- Destructive purulent pneumonia;
- High risk of pulmonary hemorrhage;
- Hiatal hernia;
- Risk of dislocation of implanted drainage tubes and catheters;
- The presence of multiple wound surfaces in the projection of exposure;
- Severe bullous deformation of the lungs;
- Severe kyphoscoliosis;
- Spontaneous pneumothorax within the last year;
- Estimated systolic pressure over the pulmonary artery more than 50 mm Hg. Art.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group with percussion massage
|
|
Group with vibroacoustic massage
|
The BARK VibroLUNG vibroacoustic device is intended for the treatment and prevention of respiratory pathologies. The BARK VibroLUNG vibroacoustic device with accessories is a medical device and is intended for the treatment of pathological conditions associated with obstructive and restrictive lung diseases in patients in medical institutions. Field of application: physiotherapy of the chest organs, treatment and prevention of respiratory failure. The therapeutic mechanism of action is due to three main effects: improved bronchial drainage, improved ventilation-perfusion ratios, and the "lung opening" maneuver. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Partial pressure of oxygen (PaO2)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Partial pressure of carbon dioxide (PaCO2)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Blood oxygen saturation level (SpO2) on pulse oximeter (peripheral capillary oxygenation)
Time Frame: on days 2,3,4,5,6,7
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on days 2,3,4,5,6,7
|
Ratio of peripheral arterial oxygen saturation(SaO2) to the inspired fraction of oxygen FiO2
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Ratio of venous saturation (SvO2) to the inspired fraction of oxygen FiO2
Time Frame: on days 2,3,4,5,6,7
|
on days 2,3,4,5,6,7
|
ROX Index
Time Frame: on days 2 and 3
|
on days 2 and 3
|
P/F index (ratio of arterial blood PO2 to oxygen fraction)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
pH of blood
Time Frame: on days 2 and 3
|
on days 2 and 3
|
BE (base excess) of blood
Time Frame: on days 2 and 3
|
on days 2 and 3
|
CBC indicators (hemoglobin)
Time Frame: on days 2,3,4,5,6,7 for hemoglobin
|
on days 2,3,4,5,6,7 for hemoglobin
|
CBC indicators (hematocrit)
Time Frame: on days 2 and 3 for hematocrit
|
on days 2 and 3 for hematocrit
|
CBC indicators (platelets)
Time Frame: on days 2 and 3 for platelets
|
on days 2 and 3 for platelets
|
Coagulogram indicators (prothrombin time)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Coagulogram indicators (prothrombin index)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Coagulogram indicators (international normalized ratio)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Coagulogram indicators (fibrinogen)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Coagulogram indicators (activated partial thromboplastin time)
Time Frame: on days 2 and 3
|
on days 2 and 3
|
Number of days spent in the high dependency unit (intensive care ward in the department)
Time Frame: through study completion, an average of 7days
|
through study completion, an average of 7days
|
Number of days in hospital
Time Frame: through study completion,an average of 7days
|
through study completion,an average of 7days
|
Number of days of O2 support
Time Frame: through study completion,an average of 7days
|
through study completion,an average of 7days
|
Proportion of patients with postoperative complications (pneumonia/atelectasis/pulmonary infiltration)
Time Frame: through study completion,an average of 7days
|
through study completion,an average of 7days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BT-01-23
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Vibroacoustic device BARK VibroLUNG
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Astana Medical UniversityUnknownRespiratory Distress Syndrome | HypoxemiaKazakhstan
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Buddhist Tzu Chi General HospitalUnknown