Health Condition 1: C069- Malignant neoplasm of mouth, unspecified
Conditions
Interventions
Intervention1: Inspiratory muscle training (IMT): All patients in the intervention arm will undergo respiratory drive test prior to IMT to assess their respiratory capacity and to have baseline values
Sponsors
Christian medical college and hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age between 18 to 90 years 2) Patients consenting for the study 3) Biopsy proven oral cancer, undergoing surgery as the primary modality of treatment with curative intent. 4) Duration of surgery more than 3 hours
Exclusion criteria
Exclusion criteria: b. Exclusion Criteria: 1. Patients with preexisting cardiopulmonary comorbidities. 2. Patients with functional dependence for daily activities. 3. Surgery causing oral incompetence which makes incentive spirometry difficult. 4. Patients with tracheostomy or requiring tracheostomy during surgery. 5. Patients undergoing salvage surgery for recurrence. 6. Patients undergoing emergency surgery for re-exploration or second surgery. 7. Patients unable to follow instructions in IMT or the patient information sheet. 8. Patients in whom IMT is contraindicated a) History of spontaneous pneumothorax b) Traumatic pneumothorax that has not fully healed c) Burst eardrum or other conditions of the eardrum d) Unstable asthma with an abnormally low perception of dyspnoea.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the incidence of post-operative pulmonary complications in patients undergoing surgery for oral cancer with or without pulmonary prehabilitation.Timepoint: From the time of hospital admission till discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the utility of the existing scoring system ARISCAT as a predictor of post- operative pulmonary complications following surgery for oral cancer.Timepoint: ARISCAT scoring will be calculated at 8 weeks of recruitment into study. | — |
Countries
India
Contacts
Public ContactShruthi Patil V
Christian medical college
Outcome results
None listed