Respiratory Physiotherapy After Cardiac Surgery

NCT01513642 | Completed DMC

• 1 other identifier: oliveira1
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Although incentive spirometry is commonly used to avoid pulmonary complications in cardiac surgery patients, the breath-stacking technique has been proposed as an alternative to increase pulmonary volumes in the post-operative period. Objective: To compare inspiratory volume and electromyographic activity of respiratory muscles during breath stacking technique and incentive spirometry in patients undergoing cardiac surgery.

Conditions

Functional Disturbance Following Cardiac Surgery

Keywords

physiotherapy; cardiac surgery; breath Stacking

Outcome Measures

Primary Outcomes (1)

• Inspiratory volume and muscle recruitment during breath-stacking and incentive spirometry techniques in postoperative cardiac patients

  Within 2 days after cardiac surgery

Study Arms (2)

Incentive spirometry

OTHER

Behavioral: Breath Stacking

Breath Stacking

NO INTERVENTION

Interventions

Breath Stacking BEHAVIORAL

To perform the BS maneuver, a silicone mask containing a one-way valve was attached to the patient's face. Once the mask was adjusted to allow only inspiration (the expiratory branch remained occluded), the patient was asked to make successive inspiratory efforts during 20 seconds.

Also known as: respiratory exercises

Incentive spirometry

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients submitted to myocardial revascularization surgery

You may not qualify if:

• cognitive impairment or incoordination to perform IS
• face mask intolerance during BS
• level of consciousness incompatible to perform IS
• hemodynamic complications \[arrhythmia, intraoperative myocardial infarction, major blood loss (defined as a loss of ≥20% of total blood volume), mean arterial pressure \<70 mmHg and reduce cardiac output requiring the use of an intra-aortic balloon pump or vasoactive drugs)
• intubation for more than 72 h after admission to the Intensive Care Unit
• the need for reintubation.

Sponsors & Collaborators

• Universidade Federal do Rio de Janeiro: lead

Study Sites (1)

Federal Bonsucesso Hospital

Rio de Janeiro, Rio de Janeiro, 21041030, Brazil

Location

MeSH Terms

Interventions

Breathing Exercises

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• Cristina Dias, PhD

  Centro Universitário Augusto Motta

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Inspiratory Volume and Muscle Recruitment During Breath-stacking and Incentive Spirometry Techniques in Postoperative Cardiac Patients.

Study Record Dates

• First Submitted: January 16, 2012
• First Posted: January 20, 2012
• Study Start: March 1, 2009
• Primary Completion: February 1, 2010
• Study Completion: December 1, 2011
• Last Updated: January 20, 2012

Record last verified: 2012-01

Locations

BR (1)