Funnel Chest
Conditions
Keywords
Nuss procedure, postoperative care, early ambulation
Brief summary
The aim of this study was to compare the functional capacity of exercise by six-minute walk test and lung function by spirometry, before and after Nuss procedure in subjects who have undergone the early rehabiliation program with those who were under conventional care. Researchers want to find out if early rehabilitation is a strategy to enhance recovery after Nuss procedure.
Detailed description
The replacement of some traditional approaches in surgical care has demonstrated that surgical recovery can be accelerated and convalescence decreased. These multimodal approaches focuses on enhancing recovery and reducing morbidity by reduction of surgical stress,minimal invasive surgery, optimized pain relief, early nutrition and ambulation. In postoperative, the bed rest leads to the increase in muscle loss and weakness, impairs pulmonary function, predisposes to venous stasis and thromboembolism, increases infection complications and reduces functional capacity even in patients who are not restricted to bed. However, few studies have focused on when start the mobilization and which effects on functional capacity of exercise and lung function during hospital stay. In this trial the investigators will consider early rehabilitation to be safe and feasible in Nuss procedure.
Interventions
OTHEREarly rehabilitation
The physical exercises and breathing exercises are started as soon as after the Nuss procedure
Sponsors
Fundação de Amparo à Pesquisa do Estado de São Paulo
Instituto do Coracao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* children who are scheduled to undergo a surgical procedure for the correction of pectus excavatum * sign the informed consent form * independent ambulation * ability to understand and follow instructions * ability to perform lung function test
Exclusion criteria
* contraindications for epidural catheter placement * patients undergoing the open surgical repair of pectus excavatum * refusal to do physical exercises on postoperative * patients did not perform the six-minute walk test and lung function test on postoperative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional capacity of exercise ( six-minute walk test) | participants will be followed for the duration of hospital stay, an expected average of 6 days | Change from baseline in distance walking on hospital discharge |
| Lung function (spirometry) | participants will be followed for the duration of hospital stay, an expected average of 6 days | Change from baseline in lung function on hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to first postoperative ambulation | up 2 hour after surgery | Time from end of surgical procedure until first postoperative ambulation was used as an indicator for early rehabilitation. |
| Pain intensity | participants will be followed for the duration of hospital stay, an expected average of 6 days | Auto-evaluation of pain (the numeric rating scale and visual analogue scale of pain from 0 -no pain- to 10 - maximal pain) |
| The length of hospital stay | expected average of 6 days | Time to achieve standardized hospital discharge criteria (tolerance of oral intake, recovery of lower gastrointestinal function, adequate pain control on oral analgesia, ability to mobilize and self care and no evidence of complications or untreated medical problems). |
Outcome results
None listed