Postoperative pulmonary complications Surgery Postoperative pulmonary complications
Conditions
Interventions
The preoperative physiotherapy consists of a combination of respiratory exercises involving the costo-diaphragm breathing technique, training of the inspiratory muscles for strength and endurance, and
Sponsors
The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Undergo voluntary coronary artery bypass graft (CABG) surgery 2. Have an increased risk of developing a PPC. High risk for the development of PPCs is determined by using the risk model during the preoperative consultation with the anaesthesiologist (6 - 8 weeks before the operation) 3. Understand Dutch language 4. Able to read 5. Capable of passing a spirometer test and a determination of the mouth pressure 6. Prepared to sign a contract of informed consent
Exclusion criteria
Exclusion criteria: 1. Cerebrovascular illnesses 2. Immunosuppressive treatment less than 30 days before the operation (chemotherapy or radiotherapy) 3. Neuromuscular illnesses (among others Guillein Barre, muscular dystrophy, myasthenia gravis) 4. A previous lung operation 5. Cardiovascular instability 6. The presence of aneurisms 7. Lung physiotherapy less than eight weeks before the operation 8. Postoperative cardiac and/or complications involving the central nervous system
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications (PPCs) are defined as 'any pulmonary abnormality occurring in the postoperative period that produces identifiable diseases or dysfunctions that are clinically significant and adversely affect clinical developments' (Brooks-Brunn, 1995). In this study, PPCs are explicitly classified and treated according to the criteria of Kroenke et. al. | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay. | — |
Countries
Netherlands
Outcome results
None listed