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Набор скоро начнётся NCT07367945

Incentive Spirometry Versus Inspiratory Muscle Training After Coronary Artery Bypass Grafting

Без фазы С лечением Coronary Artery Bypass Graft (CABG)

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Incentive spirometry, Inspiratory muscle trainer, Routine physical therapy.
Кому может быть актуально
Состояния в реестре: Coronary Artery Bypass Graft (CABG). Базовые параметры: 50 лет — 60 лет · Мужчины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Египет
Следующий шаг
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Официальное название

Effect of Incentive Spirometry Versus Inspiratory Muscle Training on Arterial Blood Gases After Coronary Artery Bypass Grafting

Обзор

This study will be conducted to compare between incentive spirometry verses inspiratory muscle training preoperatively on (ABG) after coronary artery bypass graft surgery. Is there any significant difference of preoperative incentive spirometry verses inspiratory muscle training on Arterial blood gases (ABG) after coronary artery bypass graft surgery? Participants will: Group A (incentive spirometry group ) Group B (Inspiratory muscle trainer group ) for 5 days before operative Group C (control group) and group a , b will have routinely postoperative

Вмешательства

  • Устройство Incentive spirometry
    This group will include 15 patients, Incentive spirometry was utilized by the patient with ten breaths, six sets per day for a period of 10 min within patient tolerance in every session for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).
  • Устройство Inspiratory muscle trainer
    This group will include 15 patients, each session consisted of 30 minutes of inspiratory muscle training. The patients were trained to use an inspiratory threshold-loading device (Threshold Inspiratory Muscle Training) for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).
  • Другое Routine physical therapy
    15 patients will receive for 5 days routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Первичные конечные точки

  • Arterial Blood gas Parameters (PaO2 and SaO2) [Срок оценки: Baseline 5 days pre-surgery , Immediately after the surgery within 48 hours , and through study completion an average of 8 days.]
Вторичные конечные точки (4)
  • Atelactasis [Срок оценки: Baseline 5 days pre-surgery, Immediately after the surgery within 48 hours, and through study completion an average of 8 days.]
  • Functional capacity (2- minute walk test) [Срок оценки: Baseline 5 days pre-surgery, and through study completion an average of 8 days.]
  • Physical function ICU test - scored (PFIT-s) [Срок оценки: Immediately after the surgery within 48 hours.]
  • Mechanical Ventilation duration [Срок оценки: from the end of surgery until successful extubation .]

Критерии участия

Критерии включения

  • 45 male patients will be included in this study.
  • Patients with age from 50 to 60 years old (undergoing coronary artery bypass graft surgery) through median sternotomy.
  • Their body mass index from 25 to 29.9 kg/m2
  • Patients will be alert and able to follow instruction.

Критерии исключения

  • Who are expected not to be able to conduct or comply with IS and IMT.
  • Patients with cognitive or neurological deficits.
  • Patients with coexisting acute or chronic respiratory disorders.
  • Patients unable to understand or show the proper use of the incentive spirometer and Inspiratory muscle training .
  • Patients who cannot be instructed or supervised to assure appropriate use of the device patients in whom cooperation is absent or patients unable to understand or demonstrate proper use of the devices (inspiratory muscle training and incentive spirometry).
  • Patients who are confused or delirious.
  • Patients undergoing any other surgery along with CABG.
  • Patients undergoing emergency CABG surgery.
  • Chronic obstructive pulmonary disease (COPD), asthma, restrictive lung disease, preoperative major chest infection e.g. pulmonary tuberculosis, chest deformities such as pectus carinatum, pectus excavatum, thoracolumbar scoliosis, diaphragmatic hernias diagnosed on history.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Египет · 1 центр
  • Zagazig University Hospitals — Zagazig

Идентификаторы

NCT: NCT07367945 · P.T.REC/012/006065

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗