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This work consists, first of all, in making an inventory of the physiotherapy of the patient undergoing cardiac surgery under high flow oxygenation at the CHRU NANCY.
Then, in a second step, the impact of the physiotherapy on the lung ultrasound score associated or not with the NIV of the patient under OHD after cardiac surgery will be studied.
The objective is therefore to answer the following research question: what is the impact of a physiotherapy session with or without non-invasive ventilation in patients receiving high flow oxygenation after cardiac surgery on the lung ultrasound score measured by ultrasound?
Main hypothesis: Physiotherapy is associated with NIV when it is prescribed in patients undergoing high flow oxygenation after cardiac surgery.
Secondary hypothesis: Physiotherapy + NIV further improves pulmonary aeration versus physiotherapy + high flow oxygenation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients benefiting from HIGH-FLOW OXYGENATION + NONINVASIVE VENTILATION | Patients benefiting from high-flow oxygenation will have their physiotherapy session with non-invasive ventilation. |
| |
| Patients benefiting from HIGH-FLOW OXYGENATION | Patients benefiting from high-flow oxygenation will have their physiotherapy session without non-invasive ventilation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PHYSIO | Other | session of physiotherapy |
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| Measure | Description | Time Frame |
|---|---|---|
| Lung ultrasound score | Reliable and verified score, subject to international recommendations allowing the physiotherapist to deepen his diagnosis and evaluate the effectiveness of his techniques. Measured on 12 thoracic regions The score (N B1 B2 C) will therefore be calculated according to the level obtained in each zone to determine a score out of 36. The higher the score, the more the lung has a deficit of ventilation. A decrease in the objective lung ultrasound score will result in better lung aeration. Two lung ultrasound score measurements are realized on one patient. The first measurement is taken on the day of inclusion of the patient in the study at the time of the physiotherapist's assessment before the CPT session. (CPT = Chest Physiotherapy Treatment) The second and last measurement is taken after the CPT session (with or without NIV, depending on the medical prescription). | The time of the event (the 2 measurements + the physiotherapy session) is estimated at 45 minutes. |
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Inclusion Criteria:
Exclusion Criteria:
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The subjects of the study will be patients who stayed in the Cardiovascular Surgery and Cardiac Transplant Intensive Care Unit at NANCY CHRU from September 15, 2020 to March 15, 2021
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| Name | Affiliation | Role |
|---|---|---|
| Jean PAYSANT, MD PhD | Central Hospital, Nancy, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU nancy | Nancy | 54000 | France |
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