Enhanced Recovery After Surgery, Lung Cancer (NSCLC), Perioperative Care
Conditions
Keywords
mobilization, ERAS, posture, minimizing complications, fast-track, lung-surgery, thoracic-surgery
Brief summary
To examine mobilization before/after Video-Assisted Thoracoscopic Surgery Lobectomy/Segmentectomy and further assess possible barriers to mobilization.
Detailed description
50 patients will be included in the study. Patients will wear a SENS motion, accelerometer for minimum 48 hours before surgery and until discharge (or maximum 7 days). Mobilization and posture will be measured 24h. Twice daily the patients will be assessed with a multidimensional questionnaire about barriers to mobilization.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * Able to understand written and spoken Danish language * Signed written informed consent form. * Patient planned to elective VATS lobectomy or segmentectomy * Patients with the pre-operative examination done minimum 48 hours prior to surgery (to allow at least 48 hours of preoperative activity monitoring)
Exclusion criteria
* Patients with diagnoses (neurological, psychiatric, orthopedic etc.) that challenges postoperative mobilization and posture changes. * Patient undergoing re-surgery * Patients admitted to intensive care unit * Patients with a conversion to open surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Minutes spent supine, sitting and standing | Before surgery: From enrollment to surgery day (minimum 48 hours) and After surgery: From 3 hours post surgery and until discharge or maximum 7 days. |
Secondary
| Measure | Time frame |
|---|---|
| Time spent out of bed | Before surgery: From enrollment to surgery day (minimum 48 hours) and After surgery: From 3 hours post surgery and until discharge or maximum 7 days. |
| Pulmonary complications | Within 30 days |
| Length of hospital stay | Days counted after surgery. Day of surgery is day 0. |
| Reasons for not being mobilized (questionnaire) | Filled out twice daily on first and second postoperative day |
Countries
Denmark