Comparison of The effect of early mobilization protocol at three and four phase on clinical outcome in patients undergoing coronary artery bypass graft:a single blinded randomized clinical trial

Phase 2

Conditions: Chronic ischemic heart disease.
chronic total occlusion of coronary artery
I25.82

Registration Number: IRCT20160110025937N5

Lead Sponsor: Tabriz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 120

Inclusion Criteria

1. Selecting units from both ages 18 to 65 years
2. Having a BMI between 20 and 30 mg / m2
3. Stable hemodynamic status without taking inotropic drugs
4. Lack of arrhythmias and angina
5. No Significance of Respiratory Distress and RR under 20 without Symptoms of Systemic Infection.
6.Lack of Motor and Neurological Problems
7.Static pressure above 90 mmHg
8. Time of pump pulmonary than 90 minutes
9. As an expert in cardiac surgery
10. Having no previous history of pulmonary disease
11. A psychological and mental illness that will be examined by examining a patient's case and completing a mental-mental mental test questionnaire (MMSE) before entering the study. If the MMSE score of the patient in the heart surgery department and before entering the intensive care unit in the range of 30 -25 were enrolled in the study and will be excluded from the study if they have dementia and pathologic features.

Exclusion Criteria

1. Cardiovascular and respiratory tract during and after admission in the ICU
2. Time for mechanical ventilation over 24 hours
3. Heart rate above 120 or uncontrolled arrhythmias
4. Unstable angina
5. Open sternum
6. Oxygen substitution under 90
7. Taccharide and bradycardia
8. EF below 40
9. No ability to communicate after entering the intensive care unit
10. The chest tube thickness is more than 100 cc at four hours
11. The time of the heart-pulmonary pump is 90 minutes.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Arterial oxygen saturation. Timepoint: Before the intervention, immediately after the intervention, 15 after intervention. Method of measurement: Using pulse oximetry and assessing arterial blood gases(ABG).;Pain. Timepoint: Before the intervention, immediately after the intervention, 15 after intervention. Method of measurement: Analog visual analogue tool: VAS (Visual Analogue Scale).;Levels of cognitive status. Timepoint: Before the study, after reading and end intervention. Method of measurement: Short Psycho-Mental Testing Tool: MMSE (Mini-Mental State Examination).;Frequency of pulmonary complications. Timepoint: Before the intervention, on the last day of intervention. Method of measurement: Using CXR and Physician Visit.;Arterial blood gas. Timepoint: before intervention and after 15 minute after end intervention. Method of measurement: ABG.

Secondary Outcome Measures

Name	Time	Method
Duration of stay in hospital and ICU. Timepoint: On the day of the patient's discharge from ICU and Hospital. Method of measurement: The patient's stay in the hospital and ICU will be determined by calculating the days of admission.