The Fast Track Rehabilitation in Thoracic Surgery

Summary

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.

Conditions

• Thoracic Surgery

Interventions

BEHAVIORAL

Early exercises

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.

BEHAVIORAL

Removing urinary probe and all catheters.

In postoperative phase : Removing urinary probe and all catheters.

BEHAVIORAL

Early alimentation

In postoperative phase :Early alimentation: in the first hour to the second hour .

BEHAVIORAL

commun interventions

* In preoperative phase: stopping smoking at least 2 weeks, hospitalization and balanced alimentation one day before the surgery. * In peroperative phase : no use of benzodiazepines in the anesthesia , selective intubation , maintaining vital parameters as normal and using a mini invasive surgical approach ( video thoracoscopy , video assisted thoracoscopy , thoracotomy with preservation of the posterior muscles of the chest wall , preservation of Serratus anterior and the front part of Latissimus Dorsi ). * In postoperative phase : Immediate extubation ( less than 30 minutes from the surgery end) , peridural or paravertebral or intercostal block analgesia , no use of abusive antibiotic , all analgesic drugs are permitted if there are no contraindications and physiotherapy from the 6th hour.

Sponsors & Collaborators

• Community medicine department -Habib Bourguiba University Hospital

  collaborator UNKNOWN

• Habib Bourguiba University Hospital

  lead OTHER

Principal Investigators

• Imed Frihka, Professor · Cardiovascular and thoracic surgery department - Habib Bourguiba University Hospital

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

80 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-01-31

Primary Completion

2017-12-31

Completion

2018-06-30

Countries

• Tunisia

Study Locations