Effect Of Power Breath Device On Arterial Blood Gases And Diaphragmatic Excursion After Valve Surgery

Cairo University (CU)

Status: Completed

Conditions: Heart Valve Diseases

Treatments: Other: Incrementing the training load; Other: Power breath plus; Other: Diaphragmatic breathing exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06012474

012/004209

Details and patient eligibility

About

The aim of this study is to evaluate the effect of power breath device on arterial blood gases, diaphragmatic excursion and the 6 min walk test after cardiac valve surgery.

Full description

No more studies have been done on the effect of IMT by power breath on valvular surgery, So, this study will see the effect of power breath device on arterial blood gases, diaphragmatic excursion and six minute walk test after valve surgery to know enhanced recovery protocols in valvular surgery that accelerate the functional recovery, minimize the length of the hospital stay and decrease cost of treatment.

Enrollment: 50 patients

Sex: All

Ages: 25 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Female patients with valve surgery (valve replacement or repair with median sternotomy procedure).
• Age between 25 to 35 years old.
• BMI is between 18.5 to 24.5 kg/m2.

Exclusion criteria

The participants will be excluded if they meet one of the following criteria:

• Uncontrolled hypertension (systolic blood pressure>230 mm Hg and diastolic blood pressure>120 mm Hg)
• Patients with coronary artery disease or heart failure.
• Need for mechanical ventilation for >24 h or reintubation.
• Renal and hepatic disorders.
• Infected or unstable sternum.
• patient with pneumothorax after surgery.
• Metabolic disorders.
• Pregnant woman.
• Lactating mother.
• Smokers
• Stroke patient

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

inspiratory muscle training group

Experimental group

Description:

30 patients will receive inspiratory muscle training by Power breath device once daily for 7 days.

Treatment:

Other: Incrementing the training load

Other: Power breath plus

diaphragmatic breathing exercise group

Active Comparator group

Description:

20 patients will receive program of diaphragmatic breathing exercise by incentive spirometer once daily for 7 days.

Treatment:

Other: Diaphragmatic breathing exercises