CHEST PHYSIOTHERAPY AFTER CORONARY ARTERY BYPASS GRAFT SURGERY - A COMPARISON OF THREE DIFFERENT DEEP BREATHING TECHNIQUES

Abstract Background Hemodynamic changes are among the common complications after coronary artery bypass graft (CABG) surgery. Incentive spirometry and deep breathing exercises are widely used in patients undergoing coronary artery bypass graft surgery. The aim of the present study was to compare the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery. Methods This is a clinical trial that was performed on 40 heart patients who were candidates for coronary artery bypass graft surgery. Participants were selected using convenience sampling and then randomly divided into two groups. One day before surgery, one group was taught how to perform deep breathing exercises (DBE) and the other group was taught how to use incentive spirometry in practice. Hemodynamic indices were measured and recorded before the intervention, the first, second, and the third day after the intervention. Data analysis was carried out using SPSS ver.16 and descriptive and inferential statistical tests. Findings: The mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) on the first day after the intervention in patients undergoing the incentive spirometry group was significantly higher than the DBE group (p < 0.05). On the third day after the intervention, the mean arterial SaO2 in patients of the incentive spirometry group was significantly higher than the DBE group and the mean respiratory rate (RR) in patients in the incentive spirometry group was significantly lower than the DBE group (p < 0.05). However, there was no significant difference between the two groups in terms of other indices (p > 0.05). Conclusion The results showed that incentive spirometry has a greater effect on hemodynamic indices of patients undergoing CABG compared to DBE, so, it is recommended to use incentive spirometry to improve hemodynamic indices in these patients. Trial registration: Iranian Registry of Clinical Trials (IRCT), IRCT20191028045267N1. Registered 12 March 2020, https://www.irct.ir/trial/43365

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The Effect of Classic Chest Physiotherapy on Postoperative Pain Scores and Hospital Stay in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Randomized Clinical Trial

Galen Medical Journal ◽

10.31661/gmj.v7i0.838 ◽

2018 ◽

Vol 7 ◽

pp. e838

Author(s):

Mohammad Zolfaghari ◽

ُSeyed Jalil Mirhosseini ◽

Maryam Baghbeheshti ◽

Brent A. Bauer

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Chest Physiotherapy ◽

Artery Bypass Graft ◽

Off Pump ◽

Pump Cabg ◽

Pump Coronary Artery Bypass

Background: Chest physiotherapy (CPT) is a care that increases the mobilization of several structures from both muscle and subcutaneous tissue. We planned to investigate the effect of classic CPT on pain, fatigue, satisfaction, and hospital length of stay (LOS) in patients undergoing off-pump coronary artery bypass graft (CABG). Materials and Methods: This study was a randomized controlled trial that conducted on 50 patients undergoing elective off-pump CABG. The patients have been randomly divided into two groups; in the group A (n=25) patients received physiotherapy at a single session of classic CPT, 4 times during 2nd to 5th days for 15 minutes in every session, in the group B (n=25) patients had not protocol of this exercise therapy (control). Results:The average age of all participants was 62.08 ±9.08 years. Of the 50 patients, 33 (66%) was male. Classic CPT significantly decreased pain (P=0.04), hospital LOS (P=0.010) and could increase in patients’ satisfaction (P<0.001). However, it had no considerable effect on fatigue (P=0.725). Conclusion: According to our findings, classic CPT could improve postoperative care after off-pump CABG surgery. [GMJ.2018;7:e838]

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Structured Deep Breathing Exercises Education in Patient with Coronary Artery Bypass Graft

Environment-Behaviour Proceedings Journal ◽

10.21834/ebpj.v6i18.3075 ◽

2021 ◽

Vol 6 (18) ◽

Author(s):

Noraini Hashim ◽

Norhaini Majid ◽

Norizan Masri ◽

Suryanto Suryanto

Keyword(s):

Cardiac Surgery ◽

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Deep Breathing ◽

Artery Bypass Graft ◽

Breathing Exercises ◽

Arterial Blood

Pre-operative evaluation and preparation of the patient for cardiac surgery affect post-operative outcomes and progress. A standardized pre-operative education will ensure that adequate and correct information is delivered to the patients. The research aims to determine the effectiveness of structured deep breathing exercises education on oxygenation in patients with coronary artery bypass graft (CABG) surgery. The study used a quasi-experimental design. A total of 81 patients were recruited for this study. The SpO2 and PaO2 levels were measured using capillary saturation and Arterial Blood Gases (ABG). The results showed significant differences in SpO2 scores between control and intervention groups post-intervention. Keywords: Pre-operative education; Cardiac surgery; deep breathing exercises eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v6i18.3075

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