Preoperative Optimization to Improve Functional Status

Johns Hopkins University

Status: Withdrawn

Conditions: Pneumonia, Ventilator-Associated; Pulmonary Atelectasis

Treatments: Behavioral: Inspiratory Muscle Training (IMT)

Study type: Interventional

Funder types: Other

Identifiers

NCT04566172

IRB00227450

Details and patient eligibility

About

This is a pilot study to obtain preliminary information on the usability and efficacy of a pre-habilitation program. The investigators will recruit up to 100 patients.

The two specific aims of this study are to conduct an initial pilot study with the following goals:

1. To obtain information on feasibility and utilization of the program
2. To determine whether participation in the program improves a patient's Maximal Inspiratory Pressure

Full description

Participants will engage in a pre-habilitation program prior to surgery at home, that includes using an inspiratory muscle training (IMT) device that will strengthen the muscles of breathing. Participants will keep a log of training. The Maximum Inspiratory Pressure will be measured at baseline and prior to surgery.

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Undergoing thoracic or upper abdominal surgery with an estimated date of surgery between 2-10 weeks after enrollment
• Age>65 y/o

Exclusion criteria

• Impaired cognition that would limit participation in the program
• History of spontaneous pneumothorax
• Any other physician judgement

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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0 participants in 1 patient group

Prehabilitation program

Experimental group

Description:

Patient undergoing thoracic or upper abdominal surgery as part of their regular medical care will be approached. Participants will receive a prehabilitation program that includes an inspiratory muscle training that they will do leading up to the day of their surgery.

Treatment:

Behavioral: Inspiratory Muscle Training (IMT)