Elective Cardiac Surgery
Conditions
Interventions
Experimental:Oscillation and lung expansion therapy plus standard perioperative care
Control:Standard perioperative care
Sponsors
Zhongda Hospital, Southeast University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years. 2. Scheduled for elective cardiac surgery (coronary artery bypass grafting [CABG], cardiac valve surgery, or combined CABG and valve surgery). 3. High perioperative respiratory risk (Assess Respiratory Risk in Surgical Patients in Catalonia [ARISCAT] score >= 45).
Exclusion criteria
Exclusion criteria: 1. Body mass index (BMI) > 40 kg/m². 2. Pre-existing neuromuscular disease. 3. Untreated tension pneumothorax. 4. Active pulmonary hemorrhage. 5. Left ventricular ejection fraction (LVEF) < 35%. 6. Refractory hypotension or arrhythmias. 7. Planned reoperation within 48 hours. 8. Severe underlying respiratory disease requiring long-term home oxygen therapy or noninvasive ventilation. 9. Severe dysfunction of other organs with expected short-term (7-day) mortality or palliative care needs. 10. Pregnancy. 11. Failure to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Postoperative Pulmonary Complications with Severity Score >= 3; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications ;Postoperative extra-pulmonary complications;Respiratory function;Physical function;Clinical outcomes; | — |
Countries
China
Contacts
Public ContactLing Liu
Zhongda Hospital, Southeast University
Outcome results
None listed