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

NCT06153550 | Completed

• 1 other identifier: IRBN522021/CHUSTE
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Sternotomy

Keywords

Cardiac surgery; Sternotomy; respiration; Spirometry; pulse oximetry

Outcome Measures

Primary Outcomes (1)

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

  Measured by spirometry and pulse oximetry results.

  3 weeks before, the day before and the day after surgery.

Secondary Outcomes (5)

• Analysis of the evolution of the pulmonary function by Resistance

  3 weeks before, the day before and the day after surgery.

• Analysis of the evolution of the pulmonary function by Lung volumes

  3 weeks before, the day before and the day after surgery.

• Analysis of the evolution of the pulmonary function by Dissemination capacity,

  3 weeks before, the day before and the day after surgery.

• Analysis of the evolution of the pulmonary function by Flow / volume curves

  3 weeks before, the day before and the day after surgery.

• Analysis of the evolution of the pulmonary function by Peripheral saturation

  3 weeks before, the day before and the day after surgery.

Study Arms (1)

Patients who have sternotomy

Patients who have sternotomy wll be included. They will have preparation in Respiratory Physiotherapy before sternotomy.

Other: preparation in Respiratory Physiotherapy

Interventions

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.

Patients who have sternotomy

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient with indication of cardiac surgery will be included.

You may qualify if:

• Patient with indication of cardiac surgery

You may not qualify if:

• 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

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Saint Etienne: lead

Study Sites (1)

CHU Saint-Etienne

Saint-Etienne, France

Location

MeSH Terms

Conditions

Respiratory Aspiration

Condition Hierarchy (Ancestors)

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

Study Officials

• Andranik PETROSYAN, MD

  CHU SAINT-ETIENNE

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 23, 2023
• First Posted: December 1, 2023
• Study Start: September 1, 2021
• Primary Completion: November 10, 2021
• Study Completion: November 10, 2021
• Last Updated: December 13, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)