Incentive Spirometry and Upper Abdominal Laparoscopic Surgery
NCT ID: NCT04716166
Last Updated: 2021-10-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2020-10-01
2021-05-30
Brief Summary
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Detailed Description
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Studies suggest a physiologically significant difference in the effect of the flow- and volume-oriented incentive spirometer. Flow-oriented devices enforce more work of breathing and increase muscular activity of the upper chest. Volume-oriented devices enforce less work of breathing and improve diaphragmatic activity.
Research was carried out a study on two experimental groups of patients in order to evaluate the effects of aerobic exercise training and incentive spirometry in controlling pulmonary complications following laparoscopic cholecystectomy, results indicated a significant reduction in heart rate, Oxygen Saturation of hemoglobin (SaO2), and inspiratory capacity for both groups. The researchers concluded that aerobic exercise and incentive spirometry were beneficial in reducing the postoperative pulmonary complications after laparoscopic cholecystectomy.
Another study observed the comparative study on the effect of preoperative and postoperative incentive spirometry on the pulmonary function of fifty patients who had undergone laparoscopic cholecystectomy. The authors concluded that pulmonary function is well-preserved with preoperative than postoperative incentive spirometry.
Another study observed that the volume incentive spirometry resulted in early recovery of both pulmonary function and diaphragm movement in patients who undergone laparoscopic abdominal surgery.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Volume-oriented incentive spirometry
Postoperative Volume oriented incentive spirometry 3 times a day
Volume-oriented incentive spirometry
3 sets of 5 repeated deep breaths using volume oriented incentive spirometry 3 times a day for 2 days
Flow-oriented incentive spirometry
Postoperative Flow oriented incentive spirometry 3 times a day
Flow-oriented incentive spirometry
3 sets of 5 repeated deep breaths using flow oriented incentive spirometry 3 times a day for 2 days
Interventions
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Volume-oriented incentive spirometry
3 sets of 5 repeated deep breaths using volume oriented incentive spirometry 3 times a day for 2 days
Flow-oriented incentive spirometry
3 sets of 5 repeated deep breaths using flow oriented incentive spirometry 3 times a day for 2 days
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with unstable hemodynamic parameters (arterial pressure\<100 mmHg systolic and \<60 mmHg for diastolic and mean arterial Pressure (MAP) \<80mmHg.
* Patients with postoperative complications requiring mechanical ventilation.
* Uncooperative patients or patients unable to understand or to use the device properly
* Recent history of lower extremity fracture
25 Years
65 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Abeer Fatima, MSPT-CPPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Railway General hospital
Rawalpindi, Punjab Province, Pakistan
Countries
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References
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Alaparthi GK, Augustine AJ, Anand R, Mahale A. Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial. Minim Invasive Surg. 2016;2016:1967532. doi: 10.1155/2016/1967532. Epub 2016 Jul 21.
do Nascimento Junior P, Modolo NS, Andrade S, Guimaraes MM, Braz LG, El Dib R. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. Cochrane Database Syst Rev. 2014 Feb 8;2014(2):CD006058. doi: 10.1002/14651858.CD006058.pub3.
Kundra P, Vitheeswaran M, Nagappa M, Sistla S. Effect of preoperative and postoperative incentive spirometry on lung functions after laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2010 Jun;20(3):170-2. doi: 10.1097/SLE.0b013e3181db81ce.
Soares SM, Jannuzzi HP, Kassab MF, Nucci LB, Paschoal MA. Investigation of the immediate pre-operative physical capacity of patients scheduled for elective abdominal surgery using the 6-minute walk test. Physiotherapy. 2015 Sep;101(3):292-7. doi: 10.1016/j.physio.2014.11.004. Epub 2014 Dec 17.
Kumar AS, Alaparthi GK, Augustine AJ, Pazhyaottayil ZC, Ramakrishna A, Krishnakumar SK. Comparison of Flow and Volume Incentive Spirometry on Pulmonary Function and Exercise Tolerance in Open Abdominal Surgery: A Randomized Clinical Trial. J Clin Diagn Res. 2016 Jan;10(1):KC01-6. doi: 10.7860/JCDR/2016/16164.7064. Epub 2016 Jan 1.
Other Identifiers
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Muhammad Shakir Khan
Identifier Type: -
Identifier Source: org_study_id