Effects of Preoperative Inspiratory Muscle Training on Functional Capacity and Pulmonary Complications in Coronary Artery Bypass Graft Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Heart Diseases
- Sponsor
- University of the State of Santa Catarina
- Enrollment
- 32
- Primary Endpoint
- Postoperative Pulmonary Complications
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This study will evaluate the profilatic effects of inspiratory muscle training (IMT) on functional capacity, respiratory muscle strength, postoperative pulmonary complications and days of hospitalization (PPC) in patients submitted to coronary artery bypass graft surgery (CABG).
Detailed Description
Patients undergoing coronary artery bypass graft surgery are at risk of postoperative pulmonary complications, which lead to increased postoperative morbidity and mortality. A few studies have demonstrated that preoperative physical therapy has advantages over postoperative care in patients undergoing cardiac . In this way, this study aim to investigate the effects of preoperativeinspiratory muscle training in patients at high risk of postoperative pulmonary complications who were scheduled for coronary artery bypass graft surgery.
Investigators
Kelly Cattelan Bonorino
Post graduation
University of the State of Santa Catarina
Eligibility Criteria
Inclusion Criteria
- •High-risk patients underwent primary elective CABG (Coronary artery bypass graft), High-risk will be defined as 2 or more the following: age\>70 years; cough and expectoration; diabetes; smoker; COPD (Chronic Obstructive Pulmonary Disease)
Exclusion Criteria
- •Uncontrolled arrhythmia,
- •Decompensated heart failure,
- •Unstable angina upon selection or during the inspiratory muscle training (IMT),
- •Need for reoperation and association of another procedure during surgery (e.g. valve correction associated with CABG)
- •Severe orthopedic or neurological conditions.
Outcomes
Primary Outcomes
Postoperative Pulmonary Complications
Time Frame: 1 month
The postoperative pulmonary complications (PPC) will be classified according to an ordinal scale from 1 to 4 , as proposed by Kroenke (2002). The PPCs will be defined as clinically significant if the individual presented two or more Level 2 items or one or more Level 3 and/or 4 items. The Level 1 items were considered subclinical.
Secondary Outcomes
- Lenght of hospital stay hospitalization(1 month)
- Functional Capacity(1 month)
- Respiratory Muscle Strenght(1 month)