Effect of Incentive Spirometer and Pursed Lip Breathing After Whipple Procedure.

Riphah International University

Status: Enrolling

Conditions: Hospital Stay

Treatments: Other: Pursed Lip Breathing; Other: Incentive Spirometer

Study type: Interventional

Funder types: Other

Identifiers

NCT06460584

REC/RCR&AHS/23/0368

Details and patient eligibility

About

Whipple procedure is one of the most complex surgeries among hepatobiliary surgeries. It has named as Pancreaticoduodenectomy. It can cause many PPCs. Lung volumes are reduced due to atelectasis and pneumonia. Incentive spirometer (IS) is used to prevent PPCs. Due to general anesthesia, atelectasis is among most frequent PPCs. Pursed Lip Breathing (PLB) supports the patient to control the breath. The shriveling lips provide resistance to the air flowing out of the lungs. Airway collapse can be prevented by prolonged exhalation. Dyspnea occurs during 6MWT when patient performs walk in corridor. The aim of this study is to check the effect of Incentive Spirometer and Pursed Lip Breathing to improve dyspnea, oxygen saturation and hospital stay after Whipple procedure. This research of RCT will check the effect of IS and PLB by taking sample size of 60 post-operative patients through convenient sampling technique by allocating them randomly in group A and group B. Group A will receive PLB and group B will receive IS with baseline treatment chest percussions up to the duration of every day till discharge (reading will be collected on every 4rth day), dyspnea will be assessed through 6MWT and measured by Modified MRC dyspnea scale. The data will be analyzed through SPSS 26.

Enrollment: 60 estimated patients

Sex: All

Ages: 45 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age (45 to 70)
• Type of Abdominal Surgery (Whipple Procedure) (11)
• Gender (Male and Female)
• Patients who has no history of pulmonary disease
• Smokers and nonsmokers

Exclusion criteria

• COPD (COPD patient with postoperative whipple procedure)
• Heart patient (patients who had history of heart disease along with whipple procedure)
• Uncontrolled Hypertension (patients who has have history of uncontrolled hypertension in postoperative whipple procedure)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Pursed Lip Breathing

Experimental group

Description:

For the use of PLB exercise, the intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets. In each set, 10 times will be included

Treatment:

Other: Pursed Lip Breathing

Incentive Spirometer

Active Comparator group

Description:

The intervention will be given every day till the patient discharged from hospital. Patient will perform 5 sets, in each set, 10 times will be included and hold for 3 seconds but not more than 5 seconds. Reading will be taken on every 4rth POD and comparison will be done with 1st POD reading and so on.

Treatment:

Other: Incentive Spirometer