Rib mobilization to help ventilated pneumonia patients breathe on their own

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares a manual rib mobilization technique with routine chest physiotherapy in intubated adults with pneumonia who are receiving invasive mechanical ventilation. Participants meeting stability criteria will receive either rib mobilization or standard chest physiotherapy while clinicians record ventilator weaning parameters such as respiratory rate, tidal volume, and FiO2, plus daily arterial blood gases. Secondary outcomes include length of ICU stay and weaning success rate. The goal is to determine whether adding rib mobilization improves respiratory mechanics and accelerates liberation from the ventilator.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Patient's age ranged from 40- 50 years old from both genders.
2. Diagnosed with pneumonia and need invasive mechanical ventilation support.
3. Stable oxygen saturation (SpO2 more than 85, (FiO2) 0.6 or less, PEEP less than 10 Cm H2O).
4. mean arterial pressure \> 75 mmHg and urine output \> 1 mL/kg/h;
5. Patients with Glasgow coma scale (GCS) \> 8T
6. Unconscious and semi-conscious patients. -

Exclusion Criteria:

1. Unstable hemodynamics
2. Unstable neurological problems e.g. (epileptic seizures -hyperthermia).
3. Unstable chest wall e.g. (multiple rib or vertebral fractures)
4. Increase intracranial pressure (\>20 mmHg for \>5 min).
5. Undrained pneumothorax, recent pulmonary surgery

Where it's running

• El Galaa Military Hospital
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: hoda gaber el said, master
• Email: huda.eaid68@gmail.com
• Phone: 01100272020

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.