patients undergoing surgery with cardiopulmonary bypass median sternotomy no active or chronic pulmonary condition age more than 18 years Health Care [N]
Conditions
Interventions
Patients undergoing surgery with cardiopulmonary bypass,
after extubation support patient with high-
flow nasal cannula for 24 hours,Patients undergoing surgery with cardiopulmonary bypass. After extubation,
patients assigned with Incentive Spirometry with Breathing Exercise
Experimental Device,Experimental Device
Flow Nasal Cannula (HFNC),Incentive Spirometry with Breathing Exercise (IS)
Sponsors
Rajavithi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Open heart surgery with cardiopulmonary bypass - Full median sternotomy - age > 18 years
Exclusion criteria
Exclusion criteria: - Emergency surgery - Active pulmonary disease - abnormal chest imaging - oxygen saturation of less than 95% (room air) - PaO2/FiO2 less than 350mmHg - Prolonged intubation more than 48 hours - Re-operative from any cause - patients denied participating
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of Reintubation hours Absolute number of patients (percentage),Rate of pneumonia days Number of patient | — |
Secondary
| Measure | Time frame |
|---|---|
| Peak flow rate days ml/min,PaO2/FiO2 days Blood gas analysis,ICU stay Days Date Count,Hospital stay Days Date count,30-day mortality Days Date count,Rate of Pneumonia hours Absolute number of patients (percentage) | — |
Contacts
Public ContactKumpoo Foofuengmonkolkit
Rajavithi Hospital
Outcome results
None listed