Postoperatory Recovery in Thoracic Surgical Procedure, Fast-track Protocol vs. Conventional Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 主要终点
- Functional capacity of exercise ( six-minute walk test)
研究概览
简要总结
The aim of this study was to compare the functional capacity of exercise by six-minute walk test before and after thoracic surgical procedure in subjects who have undergone the Fast-track protocol with those who were under conventional care. Researchers want to find out if Fast-track is a strategy to enhance functional capacity after thoracic surgery.
详细描述
Fast track programs represents a new approach to the management of patients undergoing surgery. It is perioperative care pathway designed to achieve early recovery and helps to minimize postoperative morbidity and mortality.
These multimodal approaches focuses on enhancing recovery and reducing of surgical stress by minimal invasive surgery, optimized pain relief, early nutrition and ambulation.
In postoperative, the bed rest leads to the increase in muscle loss and weakness, impairs pulmonary function, predisposes to venous stasis and thromboembolism, increases infection complications and reduces functional capacity.
However, information on the results of Fast-track protocols in functional capacity of exercise during hospital stay is sparse.
The six-minute walk test is use to measure of functional capacity of exercise in different populations and to detect changes after interventions. The distances traveled in two six-minute walk test (preoperative and postoperative) will be compared between the two groups (Fast-track and Conventional).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients who are scheduled to undergo a thoracic surgical procedure
- •sign the informed consent form
- •independent ambulation
- •ability to understand and follow instructions
排除标准
- •contraindications for epidural catheter placement
- •refusal to do physical exercises on postoperative
研究组 & 干预措施
Fast-track protocol
Before surgery, patients are informed about the surgical procedure, anesthesia and rehabilitation protocol. The surgery occurs in accordance with the principles of the Fast-track: minimal invasive surgery, epidural anesthetic management, avoiding the need opioid in postoperatory analgesia and use of an standardized postoperatory management protocol to an early oral intake and early mobilization.
干预措施: Fast-track protocol (Other)
Conventional care
Usual care routine postoperative
结局指标
主要结局
Functional capacity of exercise ( six-minute walk test)
时间窗: participants will be followed for the duration of hospital stay, an expected average of 6 days
Change from baseline in distance walking on hospital discharge
次要结局
- The length of hospital stay(expected average of 6 days)
- Time to first postoperative ambulation(up 2 hour after surgery)
- Surgical complications(up 6 days after surgery)
研究者
Sâmia Geórgia Dantas Linhares
Physiotherapist
Instituto do Coracao