The Fast Track Rehabilitation in Thoracic Surgery (FTR-TS)

Habib Bourguiba University Hospital

Status: Unknown

Conditions: Thoracic Surgery

Treatments: Behavioral: Early alimentation; Behavioral: Early exercises; Behavioral: Removing urinary probe and all catheters.; Behavioral: commun interventions

Study type: Interventional

Funder types: Other

Identifiers

NCT02831140

FTRCCVTSFAX

Details and patient eligibility

About

This prospective, randomized study is designed to evaluate the effectiveness of postoperative care pathway using the Fast Track Rehabilitation protocol (FTR) in comparison with the traditional postoperative care.

In order to conduct this study, patients having a thoracic surgery will be randomly attributed to FTR protocol group or control group.

Full description

Traditionally, patients who underwent thoracic surgery have been treated with a classical protocol which include; bed rest, ambulation prohibited for 24-48 hours and starvation for several postoperative days till the recovery of bowel. Some studies reported the efficacy of early rehabilitation protocols or FTR protocols in thoracic surgery to reduce postoperative complications and to minimize hospital stay. But these studies are few and retrospective. Prospective randomized trials focuses based on the "fast track regimen" or medical fast track that interest only on the medical component .

This prospective, randomized study is designed to evaluate the effectiveness of postoperative care pathway using FTR protocol in comparison with the traditional postoperative care.

In order to conduct this study, patients having a thoracic surgery will be randomly attributed to FTR protocol group or control group.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who have lung surgery during the study period after their consents are included.

Exclusion criteria

• Patients who have bad general state are unable to move or require a wake in the resuscitation.
• The Patients with thoracic soft tissue surgery.
• patients having mediastinoscopy, surgery of the chest wall or mediastinum.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 3 patient groups

Common arm : for both groups :

Other group

Description:

* In preoperative phase * In peroperative phase * In postoperative phase

Treatment:

Behavioral: commun interventions

FTR protocol group (A)

Experimental group

Description:

A. Experimental : FTR protocol group : Early exercises after a thoracic surgery : removing urinary probe and all catheters as well as alimenting .

Treatment:

Behavioral: Removing urinary probe and all catheters.

Behavioral: Early exercises

Behavioral: Early alimentation

Control group (B)

No Intervention group

Description:

Traditional, conventional care group with first get up and alimentation permission in 24 hours at the postoperative.