Heart Diseases, Heart Diseases, Ischemic, Heart Disease, Valvular
Conditions
Brief summary
The purpose of this study is to assess if arm elevation, with or without simultaneous deep breathing, affects oxygen saturation and lung function on patients two to four days after open heart surgery.
Detailed description
This single center, interventional crossover study will involve patients day 2, 3 or 4 after open heart surgery. Patients who meet the eligibility requirements will be informed about the study and potential risks, given a written informed consent they will be included for intervention being held later on the same day. Randomization will be given to the investigator in a sealed envelope and being opened after base line measurements. Data will then be collected for the randomized intervention and after a wash out period (several minutes) again for the crossover intervention.
Interventions
OTHERupper extremity elevation
5 repetitions of active upper extremity elevation in a sitting position
OTHERupper extremity elevation with deep breathing
5 repetitions of active upper extremity elevation with deep breathing in a sitting position
Sponsors
Region Örebro County
Linkoeping University
Örebro University, Sweden
Michael Reinhart
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* open heart surgery at university hospital in Örebro
Exclusion criteria
* not able to communicate in swedish * difficulties in cooperating during measurements * cognitive impairement * prolonged stay at ICU (still at ICU on the day of investigation) * ongoing oxygen treatment with more than 5 liter/minut (FiO \> 40 %)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| peripheral oxygen saturation | 30 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| heart rate | 30 minutes | — |
| respiratory rate | 30 minutes | — |
| tidal volume | 30 minutes | — |
| dyspnea - numeric rating scale | 30 minutes | Dyspnea will be measured before and after intervention, NRS will be used (patient rating of perceived dyspnea with a score from 0 to 10) |
| exertion - numeric rating scale | 30 minutes | exertion will be measured before and after intervention, NRS will be used (patient rating of perceived exertion with a score from 0 to 10) |
| pain - numeric rating scale | 30 minutes | Pain (sternal, thorax or overall pain) will be measured before and after intervention, NRS will be used (patient rating of perceived pain with a score from 0 to 10) |
Countries
Sweden
Outcome results
None listed