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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Sternotomy

Intervention / Treatment
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* Other: preparation in Respiratory Physiotherapy


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients who have sternotomy<br>Patients who have sternotomy wll be included. They will have preparation in Respiratory Physiotherapy before sternotomy. | Other: preparation in Respiratory Physiotherapy<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Analysis of the evolution of the pulmonary function by Resistance | Measured by spirometry and pulse oximetry results. | 3 weeks before, the day before and the day after surgery. | 
| Analysis of the evolution of the pulmonary function by Lung volumes | Measured by spirometry and pulse oximetry results. | 3 weeks before, the day before and the day after surgery. | 
| Analysis of the evolution of the pulmonary function by Dissemination capacity, | Measured by spirometry and pulse oximetry results. | 3 weeks before, the day before and the day after surgery. | 
| Analysis of the evolution of the pulmonary function by Flow / volume curves | Measured by spirometry and pulse oximetry results. | 3 weeks before, the day before and the day after surgery. | 
| Analysis of the evolution of the pulmonary function by Peripheral saturation | Measured by spirometry and pulse oximetry results. | 3 weeks before, the day before and the day after surgery. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiac surgery, Sternotomy, respiration, Spirometry, pulse oximetry