Completed

NCT Number: NCT04793802

Impact of Physiotherapy Session in Cardiac Surgery Patients

This work consists, first of all, in making an inventory of the physiotherapy of the patient undergoing cardiac surgery under high flow oxygenation at the CHRU NANCY.

Then, in a second step, the impact of the physiotherapy on the lung ultrasound score associated or not with the NIV of the patient under OHD after cardiac surgery will be studied.

The objective is therefore to answer the following research question: what is the impact of a physiotherapy session with or without non-invasive ventilation in patients receiving high flow oxygenation after cardiac surgery on the lung ultrasound score measured by ultrasound?

Main hypothesis: Physiotherapy is associated with NIV when it is prescribed in patients undergoing high flow oxygenation after cardiac surgery.

Secondary hypothesis: Physiotherapy + NIV further improves pulmonary aeration versus physiotherapy + high flow oxygenation.

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Key information

Conditions

Physical Therapy in Cardiac Surgery Patients

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHRU nancy

Nancy, 54000, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Person who has received full information on the organization of the research and has not objected to the use of the data.
Person benefiting from cardiac surgery programmed on Cardiothoracic Bypass
Patient under high flow oxygenation
Age ≥ 18 years old
18.5 ≤ BMI ≤ 35 kg/m2
Conscious and oriented patients: Glasgow 15

Exclusion criteria

Surgical emergencies: grafting, dissections...
Lumbar drainage in progress
Beating heart surgery
Refusal to participate in the study
Persons referred to in Articles L.1121-8 and L.1122-1-2 of the Public Health Code (minors, person under guardianship, under curatorship)

Treatment and study plan

PHYSIO

Other

session of physiotherapy

Primary outcomes

Lung ultrasound score

Time frame: The time of the event (the 2 measurements + the physiotherapy session) is estimated at 45 minutes.

Reliable and verified score, subject to international recommendations allowing the physiotherapist to deepen his diagnosis and evaluate the effectiveness of his techniques. Measured on 12 thoracic regions The score (N B1 B2 C) will therefore be calculated according to the level obtained in each zone to determine a score out of 36. The higher the score, the more the lung has a deficit of ventilation.

A decrease in the objective lung ultrasound score will result in better lung aeration.

Two lung ultrasound score measurements are realized on one patient. The first measurement is taken on the day of inclusion of the patient in the study at the time of the physiotherapist's assessment before the CPT session. (CPT = Chest Physiotherapy Treatment) The second and last measurement is taken after the CPT session (with or without NIV, depending on the medical prescription).

Sponsors and collaborators

Lead sponsor

Central Hospital, Nancy, France

Other

Registry information

Official study title

Impact of Physiotherapy Session With or Without Non Invasive Ventilation in the Patient Benefiting From High Nasal Flow Oxygenation After Cardiac Surgery: a Pilot Study

Important dates

Study start: 2020
Primary completion: 2020
Study completion: 2021
First posted: Mar 11, 2021
Registry last updated: May 13, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.