Class iv Versus Class Iiib Laser Therapy on Median Sternotomy Healing After Coronary Artery Bybass Graft
NCT ID: NCT05853237
Last Updated: 2023-05-10
Study Results
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Basic Information
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COMPLETED
NA
45 participants
INTERVENTIONAL
2021-11-01
2023-01-19
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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class IV group
start from day one surgery for 4 successive weeks, the goal in the phase I (1st 10 days after surgery) is decontamination, improve circulation, pain reduction \&wound healing acceleration The goal of phase II (next10 days till complete healing) is improve osteo-integration, pain reduction \& enhance superficial collagen production to decrease scarring. The parameters are: Power \> 500 mW; fluence 20 joule/ cm2 with (980, 915, 810 nm) and 5 joules/ cm2 by 650 nm; mode (continuous); hand piece radius = 2.5 cm; spot size (Area) = 5 cm; application by scanning not spotting to avoid thermal effect and time of session is 5- 10 minutes
laser therapy for wound management
comparison between laser effect on post median sternotomy incision compared to traditional wound care
class IIIb
Use the same protocol as in HLLT with the same wave lengths but with low power Power = 200- 300 mW; fluence 20 joule/ cm2 with (980, 915, 810 nm) and 5 joules/ cm2 by 650 nm; mode (continuous); hand piece radius = 2.5 cm; spot size (Area) = 5 cm; application by spotting and time of session was 25- 30 minutes.
laser therapy for wound management
comparison between laser effect on post median sternotomy incision compared to traditional wound care
traditional wound care
According to the hospital protocol Irrigation of the wound by normal saline, betadine application, bivatracin spray and Change dressing daily to protect the wound from infection
laser therapy for wound management
comparison between laser effect on post median sternotomy incision compared to traditional wound care
Interventions
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laser therapy for wound management
comparison between laser effect on post median sternotomy incision compared to traditional wound care
Eligibility Criteria
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Inclusion Criteria
* male gender; haemodynamic stability
* body mass index (BMI) from 18.5 to 29.9 kg/m2
* Non-infected sternotomy site
* Normal ejection fraction to ensure normal vascularity.
Exclusion Criteria
* emergency or urgent coronary artery bypass surgery
* respiratory insufficiency after surgery, manifesting hypoxemia with partial oxygen pressure in arterial blood \< 60 mmHg; Ejection fraction \< 50%
* Paramedian sternotomy which may cut wire causing sternal mobilization which is the start of deep wound infection
* Bilateral mammary harvesting which decrease blood flow to sternum; low cardiac output syndrome with ST segment elevation in multiple electrocardiogram leads, cardiac arrhythmias or hypotension, according to the American College of Cardiology Foundation and American Heart Association
* other medical conditions, such as diabetes, uncontrolled hypertension and obesity.
45 Years
65 Years
MALE
No
Sponsors
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Heidy F. Ahmed
OTHER
Responsible Party
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Heidy F. Ahmed
physical therapy doctor wound care specialist at Al kasr Al Anini university hospital, Cairo , Egypt
Principal Investigators
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Heidy F Ahmed, master
Role: PRINCIPAL_INVESTIGATOR
Kasr al aini
Locations
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Kasr Al Aini University Hospital
Giza, , Egypt
Countries
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References
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Other Identifiers
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P.T.REC/012/003308
Identifier Type: -
Identifier Source: org_study_id
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