Heart and Blood Diseases

All Conditions

Respiratory Tract (Lung and Bronchial) Diseases

Symptoms and General Pathology

Heart Diseases

Respiratory Aspiration

Respiration Disorders

Respiratory Tract Diseases

Mobilization and breathing exercises according to clinical care

Mobilization

Monika Fagevik Olsén, PhD

Background

Thoracic or abdominal surgeries are followed by a shorter or longer period of immobilization and after major surgery there is a higher risk of developing cardiorespiratory complications. To prevent these complications, the patient is encouraged to change position and exercise in bed, get out of bed as early and as much as possible after the operation and to breathe with or without aids. There is no general definition of early mobilization and may start within a few hours to a few days after surgery. There is currently a lack of knowledge nationally and internationally about when the mobilization starts and what it contains.

Many patients also receive breathing training in connection with the surgery. There is currently no consensus on which method is preferable for which groups of patients. There are similarities and differences in practice in the world regarding postoperative breathing training. There are studies that have mapped practice after primarily thoracic surgery but also abdominal surgery. However, there are no studies that have mapped when the prescribed breathing training starts after different types of operations.

The purpose of the study is to map when mobilization and breathing training starts after abdominal and thoracic surgery and what is then performed

Method The study will be carried out as a quality follow-up with mapping of practice. Patients ≥ 18 years of age who are undergoing a planned or acute open, keyhole or robot-assisted surgery, who are extubated and who breathe spontaneously will be included. Exclusion criteria are completed plastic, trauma, orthopedic or transplant surgery.

The material will be recruited from Swedish university hospitals and county hospitals for 20 days of surgery (Monday through Thursday) for five consecutive weeks.

Clinical benefit The study will mean that clinical practice is presented which, with regard to mobilization, is the first study ever that will present when this takes place and what is done and, with regard to breathing training, the first that shows when this training is initiated.

The patients will not be aware of the study activities

Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery

Time from termination of anaesthesia to when mobilization starts, ie when the patients are sitting with the legs over the edge of the bed

Content of the mobilization performed i.e. which level of mobilization (sitting on the edge of the bed, standing by the bed, sitting in a chair and walking) which is reached.

Duration of the mobilization performed, minutes

Time from termination of anesthesia to when the breathing exercise starts

Type of breathing exercise, as deep breathing, positive expiratory pressure or incentive spirometry.

Intensity of breathing exercise prescribed, sessions/time.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery	NCT04729634	Abdominal Cance... Heart Diseases	Mobilization	-	Göteborg University
Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery	NCT04729634	Abdominal Cance... Heart Diseases	Mobilization	-	Göteborg University

Spots Global Cancer Trial Database for breathing training