Abdominal muscle training prior to surgery, to reduce the occurrence of postoperative pulmonary complications in postoperative cardiac surgery patients compared to standard care : a randomized control trial.

Not Applicable

• Conditions: Post cardiac surgery pulmonary complications

• Registration Number: SLCTR/2022/007

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 20 August 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Adult male and female patients (age >=18), scheduled for any type of elective cardiac surgery.

Exclusion Criteria

1.Patients who have lesser than two weeks of waiting time for the date of surgery,
2.Patients who have a history of stroke,
3.Patients who have used immunosuppressive medication for 30 days before surgery.
4.Patients with neuromuscular disorders.
5.Patients suffering with low back pain and abdominal muscle strains
6.Patients who have an aneurysm or aortic dissection.
7.Patients who have severe heart failure (New York Heart Association Class IV) or unstable angina (Canadian Cardiovascular Society Class IV) symptoms.
8.Patients who have uncontrolled hypertension (systolic blood pressure >= 160 mm Hg and/or diastolic blood pressure >=100 mm Hg)
9.Patients who have uncontrolled atrial or ventricular arrhythmias or uncontrolled sinus tachycardia (>120 beats min?1)
10.Patients who have low ejection fraction pre-op (<40%).
11.Patients who have a recent history of congestive heart failure that has not been evaluated and effectively treated.
12.Patients who have severe aortic or mitral stenotic or regurgitate valvular disease ( severe aortic or mitral stenosis - aortic or mitral valve area < 1.0 cm2 or mean gradient > 40 or >10 mmHg respectively),
13.Patients with severe asthma (asthma that remains ‘uncontrolled’ despite optimized treatment with high dose– Inhaled corticosteroids (ICS) - Long acting beta2 agonist (LABA), or that requires high dose ICS- LABA to prevent it becoming ‘uncontrolled') and on bronchodilators.
14.Patients who have hypertrophic cardiomyopathy.
15.Patients undergoing combined procedures.
16.Patients who have a recent history of congestive heart failure that has not been evaluated and effectively treated.
17.Patients who have active pericarditis or myocarditis.
18.Patients who had recent embolism (pulmonary or systemic).
19.Patients who have acute thrombophlebitis.
20.Patients who have cognitive deficits that would preclude participation to the exercise program.
21. Patients who have physical limitations that would preclude participation to the exercise program.
22.Patients who are unable to attend the exercise program.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The occurrence of postoperative pulmonary complications, from the time of admission to the intensive care unit to the discharge from the hospital.The occurrence of postoperative pulmonary complications will be scored on an ordinal scale of 1 to 4, using the operational definition of Kroenke et al. [From the time of admission to the intensive care unit to the discharge from the hospital.]<br>