Measuring lung aeration change with lung ultrasound in response to physiotherapy breathing techniques

Not Applicable

• Conditions: postoperative pulmonary complications; postoperative atelectasis; Respiratory - Other respiratory disorders / diseases; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12624000975594
• Lead Sponsor: orthern Sydney Local Health District, NSW Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-08-12
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 63

Inclusion Criteria

Adults (>18yrs) having elective or emergency open upper abdominal surgery and/or hand-assisted laparoscopic abdominal surgery with an abdominal incision longer than 5cm that is above or extending above the umbilicus, who are spontaneously ventilating, and are in the intensive care unit, high dependency unit or surgical step-down unit on their first postoperative day

Exclusion Criteria

Unable to understand written or spoken English and unable to provide consent to participate in the study.

Patients who remain intubated and ventilated or receive non-invasive positive pressure ventilation on the first postoperative day, or are extubated after midnight on postoperative day 0

Bulky dressings that impede ultrasound imaging of the chest wall.

Body habitus preventing optimal ultrasound imaging.

A LUS clinician is unavailable.

Patients who have undergone an Ivor-Lewis esophagectomy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in lung ultrasound score immediately following a respiratory physiotherapy treatment compared to pre- treatment[Lung ultrasound score Lung ultrasound will be performed prior to and following delivery of respiratory physiotherapy treatment techniques on postoperative day 1. Lung ultrasound will also be performed on postoperative day 2]

Secondary Outcome Measures

Name	Time	Method
Incidence of postoperative pulmonary complications, for example atelectasis, pneumonia, hypoxemia.[Melbourne Group score from medical records Melbourne Group Score collected on postoperative days 1, 2 and 3];hospital-acquired pneumonia[assessed from medical records Collected on postoperative days 1, 2 and 3];escalation of medical therapy for respiratory deterioration[Collected from medical record Collected on postoperative days 1, 2 and 3];intensive care unit length of stay[Collected from medical records Collected at time of patient discharge from hospital ];hospital length of stay[Collected from medical records Collected at time of patient discharge from hospital ]