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Not yet recruitingNCT07854730Updated Oct 2, 2026

Effect of Ventilator Hyperinflation Combined With Body Positioning on Arterial Blood Gases In Patients With Ventilator-Associated Pneumonia : A Randomized Controlled Trial

An interventional study of Ventilator hyperinflation and Manual hyperinflation in Ventilator Associated Bacterial Pneumonia (VABP) and Critical Illness, sponsored by Al-Zaytoonah University of Jordan. Not yet recruiting. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Al-Zaytoonah University of Jordan · Not applicable, Interventional, and Prevention

Updated Oct 2, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
All
01

Study summary

This study aims to evaluate the effect of ventilator hyperinflation combined with body positioning on arterial blood gases in patients with ventilator-associated pneumonia. Forty-two mechanically ventilated patients will be randomly assigned into two groups receiving the intervention in either supine or lateral decubitus positions. Arterial blood gases will be assessed over a 6-day intervention period. The findings are expected to provide evidence regarding the optimal positioning strategy to enhance the effectiveness of ventilator hyperinflation in improving gas exchange in critically ill patients.

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Conditions studied

  • Ventilator Associated Bacterial Pneumonia (VABP)
  • Critical Illness

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03

In context

Critical Illness

1,881 studies on the registry are indexed under Critical Illness; 462 are open to participants now.

This study's planned enrollment of 40 is below the median of 90 across 979 interventional studies indexed under Critical Illness.

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Lead sponsor

Al-Zaytoonah University of Jordan is the lead sponsor of 24 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Mechanically ventilated patients ≥ 48 hours
  • Diagnosed with VAP (clinical + chest X-ray)
  • Age: 40-60 years
  • Hemodynamically stable
  • Unilateral lung involvement

Exclusion criteria

Exclusion Criteria:

  • Bilateral lung disease
  • Unstable cardiovascular conditions
  • Contraindications to positioning
  • Re-intubation cases
  • Presence of pneumothorax or air leak
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    ventilator hyperinflation from lateral decubitus position

    This group will receive Ventilator hyperinflation in lateral decubitus position (affected lung uppermost) and Conventional respiratory physiotherapy

    Device: Ventilator hyperinflation

  • Experimental
    Manual hyperinflation for Lateral decubitus position

    This group will receive manual hyperinflation in Lateral decubitus position and Conventional respiratory physiotherapy

    Device: Manual hyperinflation

Interventions

  • DeviceVentilator hyperinflation

    a therapeutic technique used by clinicians (Manual or Ventilator Hyperinflation) to clear secretions and recruit collapsed lung tissue, or an inadvertent complic

  • DeviceManual hyperinflation

    a respiratory therapy technique that uses a manual resuscitation bag to deliver larger-than-normal, controlled breaths to clear airway secretions and reopen collapsed lung areas

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What researchers measure

Primary outcomes

  1. PaCO2

    partial pressure of carbon dioxide in arterial blood, measuring how effectively the lungs eliminate carbon dioxide

    Time frame: Will be assessed at baseline (day 1) pre the intervention of the 1st session and (day 6) post the intervention of the 12th session.

  2. PaO2

    partial pressure of oxygen dissolved in arterial blood plasma, measured through an Arterial Blood Gas (ABG) test.

    Time frame: Will be assessed at baseline (day 1) pre the intervention of the 1st session and (day 6) post the intervention of the 12th session.

  3. SaO2

    the percentage of oxygen-saturated hemoglobin relative to total hemoglobin in arterial blood, typically measured via an invasive arterial blood gas (ABG) analysis with normal values ranging from 95% to 99%

    Time frame: Will be assessed at baseline (day 1) pre the intervention of the 1st session and (day 6) post the intervention of the 12th session.

  4. PaO2/FiO2 (P/F)

    a clinical metric used to evaluate oxygenation efficiency and diagnose the severity of acute hypoxemic respiratory failure or Acute Respiratory Distress Syndrome (ARDS).

    Time frame: Will be assessed at baseline (day 1) pre the intervention of the 1st session and (day 6) post the intervention of the 12th session.

Secondary outcomes

  1. Pulmonary compliance

    the change in lung volume divided by the change in pressure (Δ V / Δ P). Higher compliance means the lungs stretch easily; lower compliance means they are stiff and harder to inflate

    Time frame: Will be assessed at baseline (day 1) pre the intervention of the 1st session and (day 6) post the intervention of the 12th session.

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Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07854730
Lead sponsor
Al-Zaytoonah University of Jordan
Responsible party
Mohamed Saied Zidan (Assistant professor doctor, Al-Zaytoonah University of Jordan) — Principal investigator
First posted
Oct 2, 2026
Start date
Oct 5, 2026 (estimated)
Primary completion
Nov 15, 2026 (estimated)
Completion
Nov 15, 2026 (estimated)
Last update
Oct 2, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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