C22 C78.7
Conditions
Interventions
Group 1: The patients in the intervention group receive a respiratory trainer (MEDIFLO duo respiratory trainer, Medisize) and a device instruction as well as an explanation of the training plan by the
Sponsors
Technische Universität Dresden
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Indication for elective open liver resection - Study participation at least 2 weeks preoperatively - ASA I-III - Compliance to the feasibility of the training sessions - Written and verbal informed consent - General anesthesia with protective lung ventilation
Exclusion criteria
Exclusion criteria: - Contraindication to surgical liver resection - Previous lung surgery - Multivisceral resection, partial diaphragmatic resection - ALLPS (Associating Liver Partition and Portal vein Ligation for Staged hepatectomy) - Liver cirrhosis CHILD B or C - Heart failure >NYHA III - Pulmonary artery embolism in the last 6 months - Venous thrombosis in the last 6 months - Mental disorders - Unable to complete training sessions - Pregnancy/ Lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of the study is to investigate the impact of standardized preoperative respiratory training on pulmonary function and defined postoperative pulmonary complications. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are the analysis of cost-bearing factors in the perioperative course (stay in the intensive care unit, length of hospital stay). Further a risk stratification of cardiopulmonary morbidity and mortality wil be made using the 6-minute walk test and spiroergometric findings. The use of the respiratory trainer will be evaluated for practicability and benefit. | — |
Countries
Germany
Contacts
Public ContactEsther Giehl-Brown
Universitätsklinikum Carl Gustav Carus an der TU Dresden, Klinik und Poliklinik für Viszeral-, Thorax- und Gefäßchirurgie
Outcome results
None listed