Comparison of the effect of incentive spirometry and deep breathing exercise on hemodynamic indicators and pulmonary complications during and after sleeve surgery.

Determining the comparative effect of incentive spirometry and deep breathing exercise on hemodynamic indices and pulmonary complications during and after sleeve surgery in Imam Khomeini hospital, Tehran, in 2023

Clinical trial with control group, with parallel groups, without blinding, randomized, Study on 75 patients, block randomization was used for randomization.

Patients who refer to Imam Khomeini hospital in Tehran for sleeve surgery in 2023.

Admission: candidate for sleeve surgery, willing to cooperate, ASA1 and ASA2 anesthesia class one and two. with BMI above 35, age range 16 to 76 years old. Withdrawal: patients with severe chest or upper abdominal pain (VAS more than 75).

The first group of the test will use incentive spirometry and the second group will use the deep breathing technique two hours before the operation and two, six and ten hours after the operation, after the procedure and during the surgery, venous blood gas samples , blood pressure, heart rate, arterial blood oxygen saturation and hemodynamics of the patients will be documented and to check the effectiveness the incidence of atelectasis and pneumonia (up to two weeks after the operation) and the length of stay of the patients in the hospital will be checked. In the control group, there will be no special intervention and they will only receive routine hospital cares.

Hemodynamic indicators include: oxygen saturation, blood pH, heart rate, systolic and diastolic blood pressure, blood CO2

For this research, before the start of the study, after obtaining informed consent before the operation, the patients are referred continuously and available, and with the block randomization method, they are divided into three groups: incentive spirometry (I), deep breathing exercise (D), and control. (C) or routine will be assigned. The blocks of this study are 6 (II, DD, CC) which will create 27 states, first determine the possible states of these 6 letters inside the blocks and then randomly Simple and by using random numbers table number 17, the number of blocks that will complete the number of samples will be determined (1 - 27), in this way the type of intervention is determined based on the desired letters with the number of each patient and in a master sheet will be kept and the continuous entry number of the patients will be written on the envelope, and the type of intervention or control will be specified inside the envelope. Gradually, according to the presence of eligible patients, the relevant envelope is returned and the type of intervention inside the non-transparent envelope is determined and the desired technique is performed.

Individual data of study participants is considered and all data can be shared after de-identification of individuals.

The access period starts 6 months after publication of results

Our data will only be available to researchers working in academic and scientific institutions

Our data will only be available to researchers working in academic and scientific institutions. Statistical analysis is possible on the data and they can use email to send requests.

Applicants can contact Fereshte Farzanmehr at the following address: Email: Fereshteh.Farzanmehr@gmail.com Postal code: 1468613831 Phone: 09128347148

After receiving the request by the researcher, the documents will reach the applicant within two weeks at most.