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IRCT20180625040234N1 IRCT 2018-07-17 Tehran University of Medical Sciences The effect of respiratory muscle training on hospital and ICU stay in patients undergoing coronary and valves surgery تقویت عضلات تنفسی قبل از جراحی قلب The effect of respiratory muscle training on hospital and ICU stay in patients undergoing coronary and valves surgery 2018-10-23 anticipated 190 Complete https://irct.ir/trial/32234 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Individuals were selected using Permuted Block randomization method. then were divided in two groups including muscle training and pulmicort combivent, and control group which will receive only pulmonary combivent and both groups will be evaluated by breathing test and SF36 questionnaire after the study. 1-2 Mechanical complication of coronary artery bypass and valve. Intervention 1: Intervention group: Inspiratory muscle training (IMT) and treated with pulmicort and combivent inhaller.Patients return to the recovery at least 2 weeks before surgery.At the first session patients were trained regarding the respiratory muscle training which should do at home and pimax (maximum respiratory capacity) was measured. After one week patients referred to evaluate and fix the problems which they faced.At the end of two weeks, pimax (maximum respiratory capacity) was measured. Intervention 2: Control group: pimax (maximum respiratory capacity) was measured and treated with pulmicort and combivent inhaller. Yes - There is a plan to make this available What will be shared: It is possible to share the information regarding the main consequence . When: The publication of this research work will start after the end of the year 1399. To whom: Our study data will be available to researchers and all medical doctors and medical students. Conditions: It is authorized to use this scheme for upcoming research works and promoting the patients' treatment. Where to obtain: Applicants can visit the doctor Niyazi at Tehran Heart Center How to obtain: After finishing the work and publishing the article the work can be referred and cited. Comments:
public Sepideh Niyazi
Tehran Heart Center,North Kargar St.,Tehran
Tehran Iran (Islamic Republic of) 1411713138 +98 88 0296 0069 sepide.niyazi.sn@gmail.com Tehran University of Medical Sciences scientific Hossein Ahmadi Tafti
Tehran Heart Center,North Kargar St.,Tehran
Tehran Iran (Islamic Republic of) 1411713138 +98 0218802973 hosseinahmaditafti@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Age over 18 years Patients who are at the risk of postoperative pulmonary complications are on the same list of surgical procedures for switching vessels and valves. The study is conducted in the waiting period for surgery and the results will be measured before surgery. The risk group includes patients over 70 years of age and a history of diabetes and history of smoking and pulmonary disease, (COPD), BMI greater than 27, and impaired pulmonary function (FEV1 <80% and FEZ1 / FVC <70%). 18 years 70 years Both Age over 70 years respiratory or pulmonary infections lack of cooperation in the practice lung surgery history Cardiovascular instability and exercise induced bronchospasm The use of immunosuppressive drugs 30 days before surgery Spontaneous pneumothorax history T82.2 Mechanical complication of coronary artery bypass graft and biological heart valve graft Rehabilitation Treatment - Drugs Intervention group: Inspiratory muscle training (IMT) and treated with pulmicort and combivent inhaller.Patients return to the recovery at least 2 weeks before surgery.At the first session patients were trained regarding the respiratory muscle training which should do at home and pimax (maximum respiratory capacity) was measured. After one week patients referred to evaluate and fix the problems which they faced.At the end of two weeks, pimax (maximum respiratory capacity) was measured. Control group: pimax (maximum respiratory capacity) was measured and treated with pulmicort and combivent inhaller. Maximum strength of the respiratory muscles. Timepoint: Before and after breathing exercises. Method of measurement: Using the power breathe device. Duration of admission to ECU. Timepoint: Since the transfer to ECU until clearance. Method of measurement: Patient File. Tehran University of Medical Sciences Approved 2018-06-13 School of medicine - Tehran university of medical sciences Poursina ave., 6th floor, school of Medicine, Tehran University of Medical Sciences Tehran Tehran Iran (Islamic Republic of)