Effect of Short Term Pranayama on Anaesthesia Management in Patients Undergoing Cardiac Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 40
- Locations
- 2
- Primary Endpoint
- The effect of pre-operative short term pranayama yoga on SpO2 in patients scheduled for cardiac surgery. Measuring SpO2 using clarity ARGUS LCM PLUS multi - parameter monitor.
Study Overview
Brief Summary
TITLE: EFFECT OF SHORT-TERM PRANAYAMA ON ANAESTHESIA MANAGEMENT IN PATIENTS UNDERGOING CARDIAC SURGERY
Primary aim: To evaluate the effect of pre-operative short term pranayama yoga on stress-induced hemodynamic (HR, MAP) changes in patients scheduled for cardiac surgery.
Secondary aims:
- To compare the effect of YOGA on preoperative anxiety.
- To compare the effect of Yoga on SPO2.
- To compare effect of Yoga on total consumption of propofol administered using Closed Loop Anaesthesia Delivery system(CLADS)
- To compare effect of Yoga on total consumption of fentanyl, and vecuronium
- To compare effect of Yoga on post-operative anxiety (after extubation in CTVS ward)
- To compare effect of Yoga on postoperative outcome in terms of duration of mechanical ventilation, duration of ICU stay, incidence of complications and post-op mortality
Detailed Description
TITLE: EFFECT OF SHORT-TERM PRANAYAMA ON ANESTHESIA MANAGEMENT IN PATIENTS UNDERGOING CARDIAC SURGERY
This will be a prospective randomized controlled pilot study. After Institutional Ethics Committee approval and written informed consent patients aged 20-60 years and scheduled for elective cardiac surgery will be assessed for eligibility.
All patients admitted in the CT VS ward and awaiting elective surgery in the next 5-6 days will be recruited. The patients will be divided randomly into two groups using random number table; Group C: Control, Group Y: Yoga. Allocation will be done using sealed envelope technique. The study will be conducted from October 2016 to December 2017.
Before any intervention the baseline haemodynamic parameters will be recorded and general anxiety score will be measured using Spielberg's state-trait anxiety inventory (STAI).
Group Y:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age: 20-60y
- •Cardiac surgery( valvular heart disease and coronary artery disease)
Exclusion Criteria
- •Severe restrictive lung disease
- •Severe obstructive lung disease
- •Drug addicts
- •History of smoking
- •Alcohol intake
- •Central nervous system disease
- •Psychiatric disorder
Arms & Interventions
control group
no intervention
Intervention: control group (Other)
pranayama yoga
yoga breathing exercise
Intervention: pranayama yoga (Behavioral)
Outcomes
Primary Outcomes
The effect of pre-operative short term pranayama yoga on SpO2 in patients scheduled for cardiac surgery. Measuring SpO2 using clarity ARGUS LCM PLUS multi - parameter monitor.
Time Frame: Minimum 5 days
SpO2 will be measured before and after every yoga session for 5 consecutive days
The effect of pre-operative short term pranayama yoga on heart rate in patients scheduled for cardiac surgery. Measuring heart rate by using clarity ARGUS LCM PLUS multi - parameter monitor.
Time Frame: minimum 5 days
Heart rate will be measured before and after every yoga session for 5 consecutive days
The effect of pre-operative short term pranayama yoga on mean arterial pressure in patients scheduled for cardiac surgery. Measuring mean arterial pressure using clarity ARGUS LCM PLUS multi - parameter monitor.
Time Frame: Minimum 5 days
Mean arterial pressure will be measured before and after every yoga session for 5 consecutive days
Secondary Outcomes
- the effect of YOGA on pre operative anxiety. pre operative anxiety will be measured by STAI (state and trait anxiety inventory) scale(minimum 5 days preoperatively)
- Fentanyl consumption(approx 8-12 hrs)
- vecuronium consumption(approx 8-12 hrs)
- consumption of propofol(approx 8-12hrs)
- post-operative anxiety. Post operative anxiety will be measured by STAI (state and trait anxiety inventory) scale(at 12 hrs after extubation)
- post-operative outcome (complications)(approx 7 days)
Investigators
aspari mahammad azeez
Junior resident, dept.of anesthesia and intensive care
Post Graduate Institute of Medical Education and Research, Chandigarh