Effect of Early mobilization of Diaphragm Muscles strength
- Conditions
- coronary heart disease.Atherosclerotic heart disease Coronary (artery): atheroma atherosclerosis disease sclerosis
- Registration Number
- IRCT2016051527908N1
- Lead Sponsor
- Vice chancellor for research of Shahid Rajaei Cardiovascular Medical and Research Center, Iran Univ
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 80
Age of participants must be 20-65 years old; The surgery must be elective; The participants must not be so sleepy and agitated ( RASS between -2 and +2); The participants must not have cardiac arrhythmia; LVEF >30%
Exclusion criteria: Having long-term mechanical ventilation (more than 48 hours); Difficulties in movement after surgery; Cardiac arrest during or after surgery; Disable to communicate because of neurological, visual or auditory disorders; If each contraindication happened in early mobilization ( FIO2 >85%, PEEP>15 , severe heart ischemic, uncontrolled cardiac arrhythmia, impermanent blood pressure despite receiving vasopressors, open sternum? LVEF less than 30% )
6- Known case of pulmonary disease ( diaphragm disorder, COPD, hemothorax, pleural effusion, etc); History of thoracic surgery.; Smoking.
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method PIMAX: maximum pressure that patient must overcome it to bring more air into lung. SINDEX: quality criterion for measuring the breathing muscle power which is based on comparison by the amounts of same normal age, gender, height and weight. Timepoint: patient before surgury and afther surgury and both tow group. Method of measurement: Collecting data tools for this study is power breath device which its producer is KS POWER made in England.
- Secondary Outcome Measures
Name Time Method Heart rate. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Oxygen saturation. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Blood pressure. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Number of days admitted to ICU. Timepoint: during admission in ICU. Method of measurement: nursing report.;Number of stages done in early mobilization protocol. Timepoint: during admission in ICU. Method of measurement: observation by researcher.;Respiratory rate. Timepoint: before and during admission in ICU. Method of measurement: monitoring.