Efficacy of non-invasive ventilatory support in the physiotherapy treatment after pulmonary lobectomy
Completed
- Conditions
- Pulmonary neoplastic or non-neoplastic disease requiring pulmonary lobectomy or bi-lobectomyRespiratory
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 160
Inclusion Criteria
1. Aged between 18 and 78 years
2. Scheduled for pulmonary lobectomy or bi-lobectomy
3. Written informed consent obtenied
Exclusion Criteria
1. Non aderhence or non-tolerating cPAP treatment
2. Need of mechanical ventilation beyond the postoperative day 1
3. Lack of physical ability to be treated by physiotherapy
4. Pulmonary complications after mechanical ventilation
5. Diagnosis of Obstructive Sleep Apnea Syndrome
6. Mini-Mental State Examination score of less than 20
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Pulmonary volumes recovery is measured using the basal spirometry test at baseline, 1 and 4 days postoperatively<br>2. Total number of meters walked is measured using the 6 Minute Walking Test at baseline and 5 days postoperatively<br>3. Length of hospital stay is measured as the number of days from surgical operation to the discharge
- Secondary Outcome Measures
Name Time Method 1. Gas exchange improvement is measured using systemic arterial blood gas analysis at baseline, 1 and 4 days postoperatively<br>2. Post-operative complications are measured (in particular pneumonia and/or atelectasis documented by Chest X-Ray) through clinical observations throughout the postoperative period<br>3. Chest tube duration is measured as the number of days from operation to the removal of the last chest tube<br>4. Air leak is measured in liters per hours using a digital device of chest drainage at 1, 2, 3, 4 and 5 days postoperatively