Status:

COMPLETED

Acute Effect of Positive Expiratory Pressure Versus Breath Stacking Technique After Cardiac Surgery

Lead Sponsor:

Universidade Federal de Santa Maria

Conditions:

Complication, Postoperative

Cardiac Complication

Eligibility:

All Genders

Phase:

NA

Brief Summary

This study evaluates the efficacy and safety of a single session of positive expiratory pressure and of breath stacking technique in patients after cardiac surgery. The same patients will receive the ...

Detailed Description

Physiotherapy uses techniques and equipment that reduce postoperative pulmonary complications. The technique called breath stacking consists of an instrumental feature composed of a unidirectional val...

Eligibility Criteria

Inclusion

  • Patients with indication for coronary artery bypass grafting and valve replacement, with surgical procedure for median sternotomy.

Exclusion

  • incapacity to understand the Informed Consent Form.
  • cognitive dysfunction that prevents the performance of evaluations or interventions,
  • intolerance to the use of EPAP or BS mask
  • with chronic obstructive pulmonary disease (COPD)
  • cerebrovascular disease
  • chronic-degenerative musculoskeletal disease
  • chronic infectious disease
  • in treatment with steroids, hormones or cancer chemotherapy
  • hemodynamic complications (arrhythmia, myocardial infarction during the operation, with blood loss ≥ 20% of the total blood volume, defined by Mannuci, et al., 2007)
  • mean arterial pressure \<70 mmHg and reduced cardiac output, requiring the use of intra aortic balloon or vasoactive drugs
  • tracheal intubation for more than 12 hours after admission to the ICU or reintubated
  • individuals unable to maintain airway permeability.

Key Trial Info

Start Date :

August 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 4 2020

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT04013360

Start Date

August 1 2019

End Date

February 4 2020

Last Update

April 9 2020

Active Locations (1)

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1

Federal University of Santa Maria

Santa Maria, Rio Grande do Sul, Brazil, 97105-900

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