Impact of Physiotherapy Session in Cardiac Surgery Patients

Study Overview
=================
Brief Summary
-----------------
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.

Official 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

Conditions
-----------------
Physical Therapy in Cardiac Surgery Patients

Intervention / Treatment
-----------------
* Other: PHYSIO


Participation Criteria
=================
Eligibility Criteria
-----------------
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)

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients benefiting from HIGH-FLOW OXYGENATION + NONINVASIVE VENTILATION<br>Patients benefiting from high-flow oxygenation will have their physiotherapy session with non-invasive ventilation. | Other: PHYSIO<br>* session of physiotherapy<br>|
| Patients benefiting from HIGH-FLOW OXYGENATION<br>Patients benefiting from high-flow oxygenation will have their physiotherapy session without non-invasive ventilation. | Other: PHYSIO<br>* session of physiotherapy<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Lung ultrasound score | 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). | The time of the event (the 2 measurements + the physiotherapy session) is estimated at 45 minutes. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Physiotherapy, Cardiac surgery, Lung ultrasound score, Noninvasive ventilation, High flow oxygenation