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Набор скоро начнётся NCT07619716

ACBT With Incentive Spirometry Versus High-Frequency Chest Wall Oscillation After Thoracic Surgery

Без фазы С лечением Thoracic Surgery

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: Active Cycle of Breathing Techniques with Incentive Spirometry, High-Frequency Chest Wall Oscillation.
Кому может быть актуально
Состояния в реестре: Thoracic Surgery. Базовые параметры: 18 лет — 40 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

Effects of Active Cycle of Breathing Techniques With Incentive Spirometry Versus High-Frequency Chest Wall Oscillation on Cough, Sputum, Pulmonary Function Test and Patient Satisfaction After Thoracic Surgery

Обзор

This randomized clinical trial aims to compare the effectiveness of Active Cycle of Breathing Techniques combined with Incentive Spirometry (ACBT + IS) versus High-Frequency Chest Wall Oscillation (HFCWO) in patients undergoing thoracic surgery. Postoperative pulmonary complications such as reduced lung function, ineffective cough, and sputum retention are common after thoracic procedures and can delay recovery. A total of 42 participants will be randomly allocated into two groups: one receiving ACBT with Incentive Spirometry and the other receiving HFCWO, along with standard postoperative care. Outcomes including cough effectiveness, sputum clearance, pulmonary function tests, and patient satisfaction will be assessed at baseline, postoperative day 3, and day 5. The study aims to determine the more effective airway clearance technique to improve respiratory outcomes and enhance patient recovery following thoracic surgery.

Подробное описание

Postoperative pulmonary complications are common after thoracic surgery due to reduced lung function and impaired secretion clearance. Effective respiratory physiotherapy is essential to improve recovery and prevent complications such as atelectasis and pneumonia.

This randomized clinical trial aims to compare the effectiveness of Active Cycle of Breathing Techniques combined with Incentive Spirometry (ACBT + IS) and High-Frequency Chest Wall Oscillation (HFCWO) in improving respiratory outcomes. A total of 42 patients undergoing elective thoracic surgery will be randomly assigned to either ACBT + IS or HFCWO, along with standard postoperative care.

Outcomes including cough effectiveness, sputum clearance, pulmonary function (FEV₁, FVC), and patient satisfaction will be assessed at baseline, postoperative day 3, and day 5. The study seeks to identify the more effective airway clearance technique to enhance recovery and reduce postoperative complications.

Вмешательства

  • Процедура Active Cycle of Breathing Techniques with Incentive Spirometry
    A structured breathing intervention combining Active Cycle of Breathing Techniques (breathing control, thoracic expansion exercises, and forced expiratory technique) with incentive spirometry to promote lung expansion and secretion clearance. Performed multiple times daily during the early postoperative period.
  • Устройство High-Frequency Chest Wall Oscillation
    A mechanical airway clearance technique delivered using an oscillatory vest that produces high-frequency chest wall vibrations to help mobilize and remove pulmonary secretions. The intervention is administered twice daily beginning on postoperative day 3.

Первичные конечные точки

  • Forced Expiratory Volume in 1 second (FEV₁) [Срок оценки: Baseline (preoperative), Postoperative Day 3, and Day 5]
  • Forced Vital Capacity (FVC) [Срок оценки: Baseline (preoperative), Postoperative Day 3, and Day 5]
  • Cough Effectiveness [Срок оценки: Baseline, Postoperative Day 3, and Day 5]
Вторичные конечные точки (1)
  • Sputum Clearance [Срок оценки: Postoperative Day 3 and Day 5]

Критерии участия

Критерии включения

  • Adults aged 18-40 years
  • Patients scheduled for elective thoracic surgery (e.g., lobectomy, pneumonectomy, thoracotomy, or VATS)
  • Hemodynamically stable in the postoperative period
  • Cognitively and physically able to perform breathing exercises and use devices (incentive spirometer/HFCWO vest)
  • Willing to participate and provide informed consent

Критерии исключения

  • Pre-existing severe pulmonary diseases (e.g., COPD, cystic fibrosis, bronchiectasis)
  • Contraindications to HFCWO (e.g., recent rib fractures, chest wall trauma, unstable cardiovascular status)
  • Cognitive, neuromuscular, or musculoskeletal impairments limiting participation in interventions
  • Prolonged mechanical ventilation (>24 hours postoperatively)
  • Active pulmonary infection or hemoptysis within one week after surgery

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

Пакистан · 1 центр
  • Gulab Devi Hospital or General Hospital Lahore. — Lahore

Идентификаторы

NCT: NCT07619716 · REC/RCR & AHS/25/0323

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗