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| Name | Class |
|---|---|
| Community medicine department -Habib Bourguiba University Hospital | UNKNOWN |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Common arm : for both groups : | Other |
|
|
| FTR protocol group (A) | Experimental | A. Experimental : FTR protocol group : Early exercises after a thoracic surgery : removing urinary probe and all catheters as well as alimenting . |
|
| Control group (B) | No Intervention | Traditional, conventional care group with first get up and alimentation permission in 24 hours at the postoperative. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early exercises | Behavioral | In postoperative phase: Early exercises: within the first hour ;setting a half bed position, deep breathing and coughing . In the second hour, curbing vagal malaise and performing relaxation movements. In the third hour, walking about 20 to 30 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Complications: Atelectasis or re-expansion failure or pneumonic infection | discharge criteria:
| within postoperative 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | score measured by the Visual Analog Scale. | in 1st hour , 2nd hour , 3rd hour , 6th hour 24th hour , 48th hour at the postoperative , within postoperative 30 days |
| The Length of Hospital Stay |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Ben Ayed, Resident | Contact | 23935354 | 00216 | ahmed.benayed.tunisia@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Imed Frihka, Professor | Cardiovascular and thoracic surgery department - Habib Bourguiba University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiovascular and thoracic surgery department - Habib Bouguiba University Hospital | Recruiting | Sfax | Tunisia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18490173 | Background | Muehling BM, Halter GL, Schelzig H, Meierhenrich R, Steffen P, Sunder-Plassmann L, Orend KH. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg. 2008 Jul;34(1):174-80. doi: 10.1016/j.ejcts.2008.04.009. Epub 2008 May 19. | |
| 25191370 | Background |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 26, 2017 | |
| Reset | Sep 13, 2018 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 26, 2017 | Sep 13, 2018 |
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|
| Removing urinary probe and all catheters. | Behavioral | In postoperative phase : Removing urinary probe and all catheters. |
|
| Early alimentation | Behavioral | In postoperative phase :Early alimentation: in the first hour to the second hour . |
|
| commun interventions | Behavioral |
|
|
| within postoperative 30 days |
| Thoracic surgery postoperative Complications | During the First Admission : Prolonged bubbling | within postoperative 30 days |
| Surgery postoperative Complications : pulmonary embolism or cardiac arrhythmia or pleural empyema | within postoperative 30 days |
| Sokouti M, Aghdam BA, Golzari SE, Moghadaszadeh M. A comparative study of postoperative pulmonary complications using fast track regimen and conservative analgesic treatment: a randomized clinical trial. Tanaffos. 2011;10(3):12-9. |
| 23245565 | Result | Padilla Alarcon J, Penalver Cuesta JC. Experience with lung resection in a fast-track surgery program. Arch Bronconeumol. 2013 Mar;49(3):89-93. doi: 10.1016/j.arbres.2012.09.011. Epub 2012 Dec 13. English, Spanish. |
| 19324571 | Result | Das-Neves-Pereira JC, Bagan P, Coimbra-Israel AP, Grimaillof-Junior A, Cesar-Lopez G, Milanez-de-Campos JR, Riquet M, Biscegli-Jatene F. Fast-track rehabilitation for lung cancer lobectomy: a five-year experience. Eur J Cardiothorac Surg. 2009 Aug;36(2):383-91; discussion 391-2. doi: 10.1016/j.ejcts.2009.02.020. Epub 2009 Mar 26. |