Post cardiac surgery pulmonary complications
Conditions
Interventions
Study setting - This study will be conducted at the National Hospital of Sri Lanka.
Method of randomization- A computer-generated randomization table will be used for simple randomization. Randomiza
performing 10-15 repetitions or 40%-60% of one-repetition maximum (1RM). RPE (Rating of Perceived Exertion) is a way of measuring physical activity intensity level. Borg RPE scale is used for rating e
that is, how hard the activity is as shown by high heart and respiration rate, profuse perspiration and muscle exertion.
1-RM is the great
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Adult male and female patients (age >=18), scheduled for any type of elective cardiac surgery.
Exclusion criteria
Exclusion criteria: 1. Patients who have lesser than two weeks of waiting time for the date of surgery, 2. Patients who have a history of stroke, 3. Patients who have used immunosuppressive medication for 30 days before surgery. 4. Patients with neuromuscular disorders. 5. Patients suffering with low back pain and abdominal muscle strains 6. Patients who have an aneurysm or aortic dissection. 7. Patients who have severe heart failure (New York Heart Association Class IV) or unstable angina (Canadian Cardiovascular Society Class IV) symptoms. 8. Patients who have uncontrolled hypertension (systolic blood pressure >= 160 mm Hg and/or diastolic blood pressure >=100 mm Hg) 9. Patients who have uncontrolled atrial or ventricular arrhythmias or uncontrolled sinus tachycardia (>120 beats min?1) 10. Patients who have low ejection fraction pre-op ( 40 or >10 mmHg respectively), 13. Patients with severe asthma (asthma that remains ‘uncontrolled’ despite optimized treatment with high dose– Inhaled corticosteroids (ICS) - Long acting beta2 agonist (LABA), or that requires high dose ICS- LABA to prevent it becoming ‘uncontrolled') and on bronchodilators. 14. Patients who have hypertrophic cardiomyopathy. 15. Patients undergoing combined procedures. 16. Patients who have a recent history of congestive heart failure that has not been evaluated and effectively treated. 17. Patients who have active pericarditis or myocarditis. 18. Patients who had recent embolism (pulmonary or systemic). 19. Patients who have acute thrombophlebitis. 20. Patients who have cognitive deficits that would preclude participation to the exercise program. 21. Patients who have physical limitations that would preclude participation to the exercise program. 22. Patients who are unable to attend the exercise program.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of postoperative pulmonary complications, from the time of admission to the intensive care unit to the discharge from the hospital.The occurrence of postoperative pulmonary complications will be scored on an ordinal scale of 1 to 4, using the operational definition of Kroenke et al. [From the time of admission to the intensive care unit to the discharge from the hospital.] | — |
Secondary
| Measure | Time frame |
|---|---|
| “Time duration to extubation”, from the commencement of invasive mechanical ventilation to the removal of invasive mechanical ventilation (extubation) in the intensive care unit. The time points of the commencement of invasive mechanical ventilation and the removal of invasive mechanical ventilation will be recorded and used to calculate the duration of the "time duration to extubation". The time duration will be calculated in the number of minutes. [From the commencement of invasive mechanical ventilation to the removal of invasive mechanical ventilation (extubation)] “Time duration to discontinue non-invasive oxygen therapy”, from the commencement of non-invasive oxygen therapy to the discontinuation of non-invasive oxygen therapy in the intensive care unit.The time points of the commencement of non-invasive oxygen therapy and the discontinuation of non-invasive oxygen therapy will be recorded and used to calculate the “time duration to discontinue non-invasive oxygen therapy”. The time duration will be calculated in the number of hours and provided to two decimal points. [From the commencement of non-invasive oxygen therapy to the discontinuation of non-invasive oxygen therapy in the intensive care unit.] “Length of stay in the intensive care unit” from the admission to the intensive care unit to the discharge from the intensive care unit. The time point of admission to the intensive care unit after the surgery and discharge from the intensive care unit will be recorded and used to calculate length of stay in the intensive care unit. The length of stay in the intensive care unit will be calculated in number of hours and provided to two decimal points. [From the time point of admission to the intensive care unit after the surgery to discharge from the intensive care unit. ] “Length of stay in the hospital” from date of admission to intensive care unit to the date of discharge from the hospital. The dates of admission to the intensive care unit after the surgery | — |
Countries
Sri Lanka
Contacts
Public ContactT.M.U. Sanjeewa Thunpaththu
Physiotherapist
Outcome results
None listed