Comparison of Two Modes of Respiratory Physiotherapy in Cardio-thoracic Surgical Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Number of patients with atelectasis
研究概览
简要总结
Two forms of pre and postoperative physiotherapy are compared in three cohorts of patients undergoing cardio-thoracic surgery: Minor thoracic surgery (biopsy), major thoracic surgery (lobectomy etc, open or VATS) and cardiac surgery
详细描述
Inspiratory force calibrated training is applied in a controlled randomized trial
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 99 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •cardiothoracic operation,
- •informed consent
排除标准
- •reduced co-operation (such as psychiatric diagnosis),
- •severe neurologic disease affecting respiratory function,
- •alcohol or drug abuse at hospital entry,
- •tuberculosis or other contagious lung infection,
- •severe respiratory insufficiency SpO2 < 90 or blood pO2 <8 or rep.rate > 25/min at rest or supplementary oxygen required at home,
- •cardiac pacemaker.
研究组 & 干预措施
Physiotherapy w/Positive end expiratory pressure training
Chest Physiotherapy w/Positive end expiratory pressure training; post therapy lung volume measurements
干预措施: Chest Physiotherapy (Other)
Physiotherapy w/Positive end expiratory pressure training
Chest Physiotherapy w/Positive end expiratory pressure training; post therapy lung volume measurements
干预措施: Post-therapy lung volume measurements (Device)
Physiotherapy w/Inspiratory force training
Chest Physiotherapy w/Inspiratory force training; post therapy lung volume measurements
干预措施: Chest Physiotherapy (Other)
Physiotherapy w/Inspiratory force training
Chest Physiotherapy w/Inspiratory force training; post therapy lung volume measurements
干预措施: Post-therapy lung volume measurements (Device)
结局指标
主要结局
Number of patients with atelectasis
时间窗: Preop + 1-3 postoperative days
In chest x-ray
Change in peripheral oxygen saturation
时间窗: Preop + 1-3 postoperative days
Serial measurements
Postoperative lung complications
时间窗: Preop + 1-30 postoperative days
Number of patients with lung infections, prolonged air leak, pneumothorax
Change in FEV1
时间窗: Preop + 1-3 postoperative days
Serial measurements
次要结局
- Compliance to Chest physiotherapy(Preop + 1-3 postoperative days)