Effect of Preoperative Incentive Spirometer on Postoperative Pulmonary Complications Following Lung Resection

  • End date
    Jul 31, 2023
  • participants needed
  • sponsor
    Milton S. Hershey Medical Center
Updated on 4 June 2022
Accepts healthy volunteers


The objective of this study is to demonstrate that inspiratory muscle training with daily use of an incentive spirometer for at least 14 days prior to lung surgery will reduce the risk of post-operative pulmonary complications.


Postoperative pulmonary complications (PPC) are the most common adverse events following lung resection, with a reported incidence of over 20-30% in some series. The objective of this study is to demonstrate that inspiratory muscle training (IMT) with daily use of an incentive spirometer (IS) for at least 14 days prior to lung surgery will reduce the risk of PPCs compared to the usual care, consisting of no formal preoperative IMT. The hypothesis is that preoperative inspiratory spirometer breathing (ISB) is a feasible and cost-effective intervention that can significantly reduce PPCs after lung resection. It is also hypothesized that patient compliance with the intervention will be high because of its simplicity, convenience, low cost and no potential for adverse effects.

Condition Postoperative Respiratory Complication
Treatment inspiratory muscle training
Clinical Study IdentifierNCT04732143
SponsorMilton S. Hershey Medical Center
Last Modified on4 June 2022


Yes No Not Sure

Inclusion Criteria

ECOG performance status score 2 or less
Undergoing elective lung resection (includes wedge resection, lobectomy, bi-lobectomy, pneumonectomy, sleeve resection) via minimally invasive (VATS or robotic) approach or thoracotomy
Chest wall resection if performed concurrently with lung resection

Exclusion Criteria

ECOG performance status score greater than 2
Significant cognitive impairment preventing informed consent
Non-English speaking
Wedge biopsy for interstitial lung disease
Bullectomy for bullous emphysema
Pre-existing tracheostomy
Emergent or urgent surgery
Preoperative home oxygen use
History of neuromuscular disease
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