The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sternotomy
- Sponsor
- Centre Hospitalier Universitaire de Saint Etienne
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Analysis of the evolution of the pulmonary function by Forced spirometry.
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Analysis of the evolution of the pulmonary function by Forced spirometry.
Time Frame: 3 weeks before, the day before and the day after surgery.
Measured by spirometry and pulse oximetry results.
Secondary Outcomes
- Analysis of the evolution of the pulmonary function by Peripheral saturation(3 weeks before, the day before and the day after surgery.)
- Analysis of the evolution of the pulmonary function by Dissemination capacity,(3 weeks before, the day before and the day after surgery.)
- Analysis of the evolution of the pulmonary function by Flow / volume curves(3 weeks before, the day before and the day after surgery.)
- Analysis of the evolution of the pulmonary function by Resistance(3 weeks before, the day before and the day after surgery.)
- Analysis of the evolution of the pulmonary function by Lung volumes(3 weeks before, the day before and the day after surgery.)