Comparison of Two Modes of Respiratory Physiotherapy in Cardio-thoracic Surgical Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Tampere University Hospital
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Number of patients with atelectasis
Study Overview
Brief Summary
Two forms of pre and postoperative physiotherapy are compared in three cohorts of patients undergoing cardio-thoracic surgery: Minor thoracic surgery (biopsy), major thoracic surgery (lobectomy etc, open or VATS) and cardiac surgery
Detailed Description
Inspiratory force calibrated training is applied in a controlled randomized trial
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 16 Years to 99 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •cardiothoracic operation,
- •informed consent
Exclusion Criteria
- •reduced co-operation (such as psychiatric diagnosis),
- •severe neurologic disease affecting respiratory function,
- •alcohol or drug abuse at hospital entry,
- •tuberculosis or other contagious lung infection,
- •severe respiratory insufficiency SpO2 < 90 or blood pO2 <8 or rep.rate > 25/min at rest or supplementary oxygen required at home,
- •cardiac pacemaker.
Arms & Interventions
Physiotherapy w/Positive end expiratory pressure training
Chest Physiotherapy w/Positive end expiratory pressure training; post therapy lung volume measurements
Intervention: Chest Physiotherapy (Other)
Physiotherapy w/Positive end expiratory pressure training
Chest Physiotherapy w/Positive end expiratory pressure training; post therapy lung volume measurements
Intervention: Post-therapy lung volume measurements (Device)
Physiotherapy w/Inspiratory force training
Chest Physiotherapy w/Inspiratory force training; post therapy lung volume measurements
Intervention: Chest Physiotherapy (Other)
Physiotherapy w/Inspiratory force training
Chest Physiotherapy w/Inspiratory force training; post therapy lung volume measurements
Intervention: Post-therapy lung volume measurements (Device)
Outcomes
Primary Outcomes
Number of patients with atelectasis
Time Frame: Preop + 1-3 postoperative days
In chest x-ray
Change in peripheral oxygen saturation
Time Frame: Preop + 1-3 postoperative days
Serial measurements
Postoperative lung complications
Time Frame: Preop + 1-30 postoperative days
Number of patients with lung infections, prolonged air leak, pneumothorax
Change in FEV1
Time Frame: Preop + 1-3 postoperative days
Serial measurements
Secondary Outcomes
- Compliance to Chest physiotherapy(Preop + 1-3 postoperative days)