Abdominal Surgery, Inspiratory Muscle Training, Postoperative Pulmonary Complications, Respiratory Muscle Function
Conditions
Keywords
inspiratory muscle training, postoperative pulmonary complications, respiratory muscle function, abdominal surgery
Brief summary
Upper abdominal surgical treatment may have reduced respiratory muscle function and mucociliary clearance, which might be a consequence of postoperative pulmonary complications (PPCs). The threshold inspiratory muscle training (IMT) may serve as an effective modality to improve respiratory muscle strength and endurance in patients. However, whether this training could help patients with upper abdominal surgery remain to be determined.
Interventions
BEHAVIORALInspiratory muscle training
The initial training intensity of the preoperative threshold IMT trainer (DofinTM, Breathing Strength Builder, Taiwan) was moderate to high intensity (≥50% of MIP), which was according to the patient's baseline level and increased by 5-10% per week. The frequency is 25-30 minutes each time, twice a day and five days per week for at least two weeks. The participants would receive at least 10 times training sessions before surgery
BEHAVIORALRegulated care and education
Regulated care and education will be applied
Sponsors
National Cheng Kung University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The study population will be randomized and separated in two groups, Intervention and Usual care group.
Eligibility
Sex/Gender
ALL
Age
20 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
1. ≧20 years old with upper abdominal surgery, 2. American Society of Anesthesiologists; ASA) I-IV 3. body Mass Index; BMI≥ 18 4. able to follow exercise protocol. T
Exclusion criteria
1. history of prior abdominal surgery 2. high risk of exercise contraindications (e.g. severe cardiac or cardiovascular disease), 3) American Society of Anesthesiologists; ASA) V-IV 4\) unable to follow exercise protocol 5) severe organ failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pulmonary complications rate | Change from baseline (0 week) to follow up (4 weeks) | According to the definition of PPCs on European Perioperative Clinical Outcome 2015 |
| Respiratory muscles strength | Change from baseline (0 week) to follow up (4 weeks) | MIP and MEP are done by measuring the upper airway pressure |
| Diaphragm mobilit | Change from baseline (0 week) to follow up (4 weeks) | Diaphragm ultrasonography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life score | Change from baseline (0 week) to follow up (4 weeks) | The World Health Organization Quality of Life Briefing |
Countries
Taiwan
Outcome results
None listed