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Completed

NCT Number: NCT06153550

The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery

The sternotomy has some influence on the respiratory system after cardiac surgery, considerably increasing the risk of perioperative and postoperative breathing.

There is respiratory preparation before cardiac surgery using local physiotherapeutic guidelines.

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Key information

Conditions

Sternotomy Pathologic Processes Pathological Conditions, Signs and Symptoms Respiration Disorders Respiratory Aspiration Respiratory Tract Diseases

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHU Saint-Etienne

Saint-Etienne, France

About this study

The aim of the study is to have a quantification of this preparation spirometry: before starting the preparation and at the end of the preparation (right before surgery) by comparing the spirometric and pulse oximetry information. The prospective study will be conducted on 25 patients, who will be selected consecutively without randomization.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient with indication of cardiac surgery

Exclusion criteria

  • Patient with a Body Mass Index (BMI) > 30
  • Restrictive patient
  • Obstructive patient
  • Asthmatic
  • Chronic Obstructive Pulmonary Disease (COPD)
  • History of pulmonary fibrosis, tuberculosis
  • Coronary patients with stenosis of the common trunk.
  • Emergency and lifesaving surgeries
  • History of thoracic trauma
  • Severe kyphotic patients
  • History of radiotherapy
  • Patients with neuromuscular disease
  • Patients with thoracic cage involvement (pectus excavatum, post thoracic surgery)
  • Patients with emphysema
  • Patients with dilated bronchi

Treatment and study plan

preparation in Respiratory Physiotherapy

Other

preparation in Respiratory Physiotherapy consist to:

  • 3 sessions per week with the physiotherapist
  • spirometry and pulse oximetry test 3 weeks before surgery, the day before surgery and the day after surgery.

Primary outcomes

  1. Analysis of the evolution of the pulmonary function by Forced spirometry.

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

Secondary outcomes

  1. Analysis of the evolution of the pulmonary function by Resistance

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

  2. Analysis of the evolution of the pulmonary function by Lung volumes

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

  3. Analysis of the evolution of the pulmonary function by Dissemination capacity,

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

  4. Analysis of the evolution of the pulmonary function by Flow / volume curves

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

  5. Analysis of the evolution of the pulmonary function by Peripheral saturation

    Time frame: 3 weeks before, the day before and the day after surgery.

    Measured by spirometry and pulse oximetry results.

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne

Other

Registry information

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Dec 1, 2023
Registry last updated
Dec 13, 2023

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.

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