Upper Extremity Elevation and Lungfunction After Open Heart Surgery

Michael Reinhart

Status: Completed

Conditions: Heart Diseases, Ischemic; Heart Disease, Valvular; Heart Diseases

Treatments: Other: upper extremity elevation; Other: upper extremity elevation with deep breathing

Study type: Interventional

Funder types: Other

Identifiers

NCT05278819

278090

Details and patient eligibility

About

The purpose of this study is to assess if arm elevation, with or without simultaneous deep breathing, affects oxygen saturation and lung function on patients two to four days after open heart surgery.

Full description

This single center, interventional crossover study will involve patients day 2, 3 or 4 after open heart surgery. Patients who meet the eligibility requirements will be informed about the study and potential risks, given a written informed consent they will be included for intervention being held later on the same day. Randomization will be given to the investigator in a sealed envelope and being opened after base line measurements. Data will then be collected for the randomized intervention and after a wash out period (several minutes) again for the crossover intervention.

Enrollment: 22 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• open heart surgery at university hospital in Örebro

Exclusion criteria

• not able to communicate in swedish
• difficulties in cooperating during measurements
• cognitive impairement
• prolonged stay at ICU (still at ICU on the day of investigation)
• ongoing oxygen treatment with more than 5 liter/minut (FiO > 40 %)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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22 participants in 2 patient groups

upper extremity elevation

Experimental group

Description:

performing intervention A (5 repetitions of upper extremity elevation), and then crossed over to intervention B (5 repetitions of upper extremity with deep breathing).

Treatment:

Other: upper extremity elevation with deep breathing

Other: upper extremity elevation

upper extremity elevation with deep breathing

Experimental group

Description:

performing intervention B (5 repetitions of upper extremity with deep breathing), and then crossed over to intervention A (5 repetitions of upper extremity elevation).

Treatment:

Other: upper extremity elevation with deep breathing

Other: upper extremity elevation