Study of Prone Positioning and Voice Training After Major Abdominal Surgery for Esophagus, Stomach, or Pancreas Cancer

What this Trial Is About

This research aims to evaluate the effects of adopting a prone position after major abdominal surgery, focusing on patients undergoing surgery for esophageal, gastric, or pancreas malignancies. The study involves a randomized clinical trial with over 200 patients to assess whether the prone position can improve ventilation and reduce risks such as pneumonia and thromboembolism. Additionally, a voice, speech, and singing protocol is included to explore further patient outcomes. Participants will be randomly assigned to one of two groups one receiving the standard Enhanced Recovery After Surgery ERAS protocol alone, and the other receiving the ERAS protocol combined with scheduled periods in the prone position and voice training. The prone position is applied postoperatively during days 2 to 5 and also on day 7 after surgery. The study compares these approaches to observe differences in recovery and complications. Throughout the study, patients will be closely monitored for oxygen saturation and lung complications, with measurements taken on postoperative days 2 through 7. Additional assessments include lung volumes, patient experience ratings, length of hospital stay, and complications within 30 days. Researchers will also track vital signs, use of analgesics, blood samples for bleeding, inflammation, and infection markers. Follow-up continues up to one year to evaluate long-term postoperative outcomes and any treatment-related adverse events.

Effects of Prone Position After Major Abdominal Surgery