Preoperative Self-managed Respiratory Therapy for Reduction of Postoperative Pulmonary Complications (NCT03356496) | Clinical Trial Compass
WithdrawnNot Applicable
Preoperative Self-managed Respiratory Therapy for Reduction of Postoperative Pulmonary Complications
Stopped: Delays due to COVID, standard of care has changed, eliminating the need for the study
United States0Started 2020-01-22
Plain-language summary
Postoperative pulmonary complications (PPCs) are a source of much morbidity and mortality. Rates of PPCs exceed 30% in patients with multiple risk factors. Several studies have demonstrated reduced PPCs in patients who underwent preoperative inspiratory muscle training. These studies largely focused on cardiothoracic surgery and required the use of respiratory therapists. The investigators hypothesize that preoperative, self-administered respiratory therapy would reduce PPCs in patients with risk factors for PPCs undergoing any non-cardiothoracic surgery. This study is a randomized, controlled trial comparing preoperative use of an incentive spirometry device with usual care in patients undergoing non-emergent, non-cardiothoracic surgical procedures under general anesthesia.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Intermediate or high risk for postoperative pulmonary complications as defined by ARISCAT score \>25
* Undergoing non-cardiothoracic surgery scheduled at least 7 days in the future
* Planned general anesthesia (alone or in combination with regional or neuraxial anesthesia)
* Personal internet access
Exclusion Criteria:
* Active bronchospasm during preoperative clinic visit
* History of pneumothorax
* History of tracheal stoma or ventilator dependency
* Pregnancy
* Chronic oxygen requirement
* Deficient motor and/or visual function that will prohibit utilization of the device or instructional video and handout
* Lack of English language proficiency
* Inability to consent
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.