Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

2021 ◽  
Author(s):  
Maasoumeh Barkhordari-Sharifabad ◽  
Fatemeh Zerang
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Deep Breathing ◽  
Artery Bypass Graft ◽  
Breathing Exercises ◽  
The Mean ◽  
Incentive Spirometry

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

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

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

scholarly journals Effect of Deep Breathing on Heart Rate Variability Following Coronary Artery Bypass Graft

2019 ◽  
Vol 87 (12) ◽  
pp. 5179-5186
Author(s):  
ZEINAB M. HELMY, Ph.D.; ABEER A. FARGHALY, Ph.D. ◽  
AYMN S. GADO, M.D.; HAIDY M. EL MOSALAMY, M.Sc.
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Deep Breathing ◽  
Artery Bypass Graft

What is the Role of Preoperative Breathing Exercises in Reducing Postoperative Atelectasis after CABG?

2019 ◽  
Vol 14 (4) ◽  
pp. 275-279 ◽  
Author(s):  
Seyed Tayeb Moradian ◽  
Amir Abas Heydari ◽  
Hosein Mahmoudi
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Pulmonary Complications ◽  
Artery Bypass Graft ◽  
Breathing Exercises ◽  
Arterial Blood ◽  
Significant Difference

Background: Atelectasis and hypoxemia are frequently reported after coronary artery bypass graft surgery (CABG). Some studies confirm the benefits of breathing exercises on pulmonary complications, but the efficacy of preoperative breathing exercises in patients undergoing CABG is controversial. In this study, the effect of preoperative breathing exercises on the incidence of atelectasis and hypoxemia in patients candidate for CABG was examined. Methods: In a single-blinded randomized clinical trial, 100 patients who were undergoing coronary artery bypass graft surgery were randomly allocated into two groups of experimental and control, each consisted of 50 patients. Before the operation, experimental group patients were enrolled in a protocol including deep breathing, cough and incentive spirometer. In the control group, hospital routine physiotherapy was implemented. All the patients received the hospital routine physiotherapy once a day for 2 to 3 minutes in the first four days postoperatively. Arterial blood gases and atelectasis were compared between groups. Results: There was no significant difference between groups in terms of atelectasis and hypoxemia (p Value>0.05). Conclusion: Preoperative breathing exercise does not reduce pulmonary complications in patients undergoing CABG.

Is Preoperative Eosinopenia an Independent Predictor of Early Mortality for Coronary Artery Bypass Surgery?

2016 ◽  
Vol 19 (2) ◽  
pp. 088 ◽  
Author(s):  
Özge Korkmaz ◽  
Hakki Kaya ◽  
Osman Beton ◽  
Ali Zorlu ◽  
Sabahattin Göksel ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Stress Hormones ◽  
Bypass Graft ◽  
Postoperative Mortality ◽  
Cardiovascular Death ◽  
Artery Bypass Graft ◽  
The Mean

<strong>Objective:</strong> Coronary artery bypass graft surgery in one of the most effective and widely used methods employed in the treatment of ischemic heart disease, but many factors to various degrees are directly associated with perioperative and postoperative problems. In this study, we evaluated the relationship between preoperative eosinophil count and postoperative mortality in patients who underwent coronary artery bypass graft operation. <br /><strong>Methods:</strong> A total of 241 patients (157 males, 84 females) who underwent isolated on-pump coronary artery bypass graft operation between 2011 and 2013 in two centers were evaluated retrospectively. The mean age of patients was 64 ± 11 years. After the mean 6.2 ± 0.8 month follow-up period, <br />36 (15%) of the 241 patients experienced cardiovascular death. Patients were classified into two groups as those who survived versus those who died. <br /><strong>Results:</strong> Eosinophil levels were lower among the patients who died compared to the patients who survived (0.8 [0-3.8] versus 1.7 [0-9.4] ×1000 cells/mm3; P &lt; .001). Optimal cut-off level of eosinophils for predicting mortality was determined as ≤1.6 ×1000 cells/mm3, with a sensitivity of 85.7% and specificity of 51.0% (area under curve, 0.703; 95% CI, 0.641-0.760).<br /><strong>Conclusion:</strong> Eosinopenia was used as the predictor of mortality in pediatric and adult patients in the intensive care units. Eosinopenia after coronary artery bypass graft can be related to the endogenous stress hormones, and insufficiency of the existing cardiac status. Eosinophil levels can assist and facilitate risk stratification for patients with coronary artery bypass graft.

Effectiveness of Incentive Spirometry on Inspiratory Muscle Strength After Coronary Artery Bypass Graft Surgery

2020 ◽  
Vol 29 (8) ◽  
pp. 1180-1186 ◽  
Author(s):  
Siriluck Manapunsopee ◽  
Thanitta Thanakiatpinyo ◽  
Wanchai Wongkornrat ◽  
Benjamas Chuaychoo ◽  
Wilawan Thirapatarapong
Keyword(s):  
Coronary Artery ◽  
Muscle Strength ◽  
Coronary Artery Bypass Graft ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Inspiratory Muscle ◽  
Artery Bypass Graft ◽  
Inspiratory Muscle Strength ◽  
Incentive Spirometry
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