The effect of breathing exercises on respiratory status after coronary artery bypass graft surgery
- Conditions
- Condition 1: Coronary artery bypass graft surgery. Condition 2: Atelectasis.Atherosclerosis of coronary artery bypass graft(s) without angina pectorisAtelectasisJ98.11I25.810
- Registration Number
- IRCT20150916024047N5
- Lead Sponsor
- Mazandaran University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 52
Age over 18 years old
No ejection fraction less than 30%
Lack of chronic respiratory diseases such as asthma and COPD
No history of heart and lung surgery
Not having any lung damage
No history of rib fractures
Not having any cognitive or neurological disorders
No history of head or nose trauma and recurrent sinus infections
No history of chemotherapy and use of immunosuppressive drugs in the three months before surgery
No BMI more than 40
Severe hemodynamic disorders after surgery
Arterial blood pH less than 7/30
Arterial carbon dioxide pressure more than 50 mm Hg
Arterial oxygen saturation is less than 80% despite receiving supplemental oxygen
Serum creatinine greater than 3.5 mg / dL
Aortic collapse time more than 150 minutes
Pulmonary bypass time more than 240 minutes
Use of intra-aortic pump balloon during and after surgery
Intubation for more than 24 hours
Re-transfer of the patient to the operating room and the patient's need for a ventilation-treatment protocol outside the research process
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Respiratory status of patients after coronary artery bypass graft surgery. Timepoint: The second, third, fourth day after surgery. Method of measurement: The arterial blood oxygen saturation of the pulse oximetry device and the intensity of pain are assessed with a 10-point VAS visual criterion.
- Secondary Outcome Measures
Name Time Method Respiratory status. Timepoint: Periods of respiratory status assessment as a consequence can be stated at the beginning of the study (before the intervention) and the first, second and third days after the start of respiratory training. Method of measurement: Hearing the lungs of patients.;Oxygen saturation rate. Timepoint: Arterial blood oxygen saturation on the second, third and fourth day after the start of breathing exercises. Method of measurement: Pulse oximetry.;VAS standard score. Timepoint: VAS standard score after the end of the respiratory training course. Method of measurement: VAS criteria.