Clinical trial NCT06153550: The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery
Official title: The Benefit of Preparation in Respiratory Physiotherapy Before a Sternotomy in the Context of Cardiac Surgery
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Sternotomy
Keywords: Cardiac surgery
Sternotomy
respiration
Spirometry
pulse oximetry
Lead sponsor: Centre Hospitalier Universitaire de Saint Etienne
Sponsor class: OTHER
First posted: 2023-12-01
Enrollment: 32
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patient with indication of cardiac surgery will be included.

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.

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Analysis of the evolution of the pulmonary function by Forced spirometry.
timeFrame: 3 weeks before, the day before and the day after surgery.
Secondary outcomes:
measure: Analysis of the evolution of the pulmonary function by Resistance
timeFrame: 3 weeks before, the day before and the day after surgery.
measure: Analysis of the evolution of the pulmonary function by Lung volumes
timeFrame: 3 weeks before, the day before and the day after surgery.
measure: Analysis of the evolution of the pulmonary function by Dissemination capacity,
timeFrame: 3 weeks before, the day before and the day after surgery.
measure: Analysis of the evolution of the pulmonary function by Flow / volume curves
timeFrame: 3 weeks before, the day before and the day after surgery.
measure: Analysis of the evolution of the pulmonary function by Peripheral saturation
timeFrame: 3 weeks before, the day before and the day after surgery.
Other outcomes:
Locations:
city: Saint-Étienne
country: France
facility: CHU Saint-Etienne
Study officials:
affiliation: CHU SAINT-ETIENNE
name: Andranik PETROSYAN, MD
role: PRINCIPAL_INVESTIGATOR
References: