Postoperative; Dysfunction Following Cardiac Surgery, Postoperative; Dysfunction Following Lung Surgery
Conditions
Brief summary
Two forms of pre and postoperative physiotherapy are compared in three cohorts of patients undergoing cardio-thoracic surgery: Minor thoracic surgery (biopsy), major thoracic surgery (lobectomy etc, open or VATS) and cardiac surgery
Detailed description
Inspiratory force calibrated training is applied in a controlled randomized trial
Interventions
OTHERChest Physiotherapy
DEVICEPost-therapy lung volume measurements
In both intervention groups.
Sponsors
Tampere University of Technology
Tampere University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* cardiothoracic operation, * informed consent
Exclusion criteria
* reduced co-operation (such as psychiatric diagnosis), * severe neurologic disease affecting respiratory function, * alcohol or drug abuse at hospital entry, * tuberculosis or other contagious lung infection, * severe respiratory insufficiency SpO2 \< 90 or blood pO2 \<8 or rep.rate \> 25/min at rest or supplementary oxygen required at home, * cardiac pacemaker.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in peripheral oxygen saturation | Preop + 1-3 postoperative days | Serial measurements |
| Postoperative lung complications | Preop + 1-30 postoperative days | Number of patients with lung infections, prolonged air leak, pneumothorax |
| Change in FEV1 | Preop + 1-3 postoperative days | Serial measurements |
| Number of patients with atelectasis | Preop + 1-3 postoperative days | In chest x-ray |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compliance to Chest physiotherapy | Preop + 1-3 postoperative days | Serial evaluations and measurements |
Countries
Finland
Outcome results
None listed