Efficacité de la kinésithérapie respiratoire chez des enfants intubés ventilés atteints de bronchiolite aiguë

Abstract

Objectives. – Despite the lack of clinical studies, chest physiotherapy (CP) is widely used in children with acute bronchiolitis. The main goal of this study was to evaluate its short-term efficacy in children under mechanical ventilation for acute bronchiolitis. Methods. – Twenty children were studied. All were under mechanical ventilation on a pressure-controlled mode. Oxygen saturation, transcutaneous PCO 2 and tidal volume were measured before any intervention, after endotracheal succion, after CP and endotracheal succion and 1 h later. Results. – Thirty-eight analyses were performed. Baseline tidal volume, oxygen saturation and transcutaneous PCO 2 were not modified after endotracheal succion. Immediately and 1 h after CP, SpO 2 (98% vs. 94.5%), and tidal volume (66 vs. 55 ml) significantly increased. Conclusion. – The increase of O 2 saturation and tidal volume may be linked to the improvement of bronchial sputum clearance. Further studies are needed to estimate the long-term efficacy of CP in acute bronchiolitis.