The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery

Completed

• Conditions: Sternotomy
• Interventions: Other: preparation in Respiratory Physiotherapy

• Registration Number: NCT06153550
• Lead Sponsor: Centre Hospitalier Universitaire de Saint Etienne

Brief Summary

The sternotomy has some influence on the respiratory system after cardiac surgery, considerably increasing the risk of perioperative and postoperative breathing.

There is respiratory preparation before cardiac surgery using local physiotherapeutic guidelines.

Detailed Description

The aim of the study is to have a quantification of this preparation spirometry: before starting the preparation and at the end of the preparation (right before surgery) by comparing the spirometric and pulse oximetry information. The prospective study will be conducted on 25 patients, who will be selected consecutively without randomization.

Study Timeline

• Study Start: 2021-09-01
• Primary Completion: 2021-11-10
• Study Completion: 2021-11-10
• Status Verified: 2023-11
• Study First Submitted: 2023-11-23
• Study First Submitted QC: 2023-11-30
• Study First Posted: 2023-12-01
• Last Update Submitted: 2023-12-12
• Last Update Posted: 2023-12-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Patient with indication of cardiac surgery

Exclusion Criteria

• Patient with a Body Mass Index (BMI) > 30
• Restrictive patient
• Obstructive patient
• Asthmatic
• Chronic Obstructive Pulmonary Disease (COPD)
• History of pulmonary fibrosis, tuberculosis
• Coronary patients with stenosis of the common trunk.
• Emergency and lifesaving surgeries
• History of thoracic trauma
• Severe kyphotic patients
• History of radiotherapy
• Patients with neuromuscular disease
• Patients with thoracic cage involvement (pectus excavatum, post thoracic surgery)
• Patients with emphysema
• Patients with dilated bronchi

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients who have sternotomy	preparation in Respiratory Physiotherapy	Patients who have sternotomy wll be included. They will have preparation in Respiratory Physiotherapy before sternotomy.

Primary Outcome Measures

Name	Time	Method
Analysis of the evolution of the pulmonary function by Forced spirometry.	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.

Secondary Outcome Measures

Name	Time	Method
Analysis of the evolution of the pulmonary function by Peripheral saturation	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.
Analysis of the evolution of the pulmonary function by Dissemination capacity,	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.
Analysis of the evolution of the pulmonary function by Flow / volume curves	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.
Analysis of the evolution of the pulmonary function by Resistance	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.
Analysis of the evolution of the pulmonary function by Lung volumes	3 weeks before, the day before and the day after surgery.	Measured by spirometry and pulse oximetry results.

Trial Locations

Locations (1)

CHU Saint-Etienne; 🇫🇷 Saint-Étienne, France