Effect of the Active Cycle of Breathing Technique on Coronary Artery Bypass Graft Patients' Outcomes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 92
- Locations
- 1
- Primary Endpoint
- Atelectasis
Study Overview
Brief Summary
Following CABG surgery, patients are at risk for several complications. One of the most common complications is postoperative pulmonary complications, which include atelectasis and dyspnea. These complications cause prolonged ICU length of stay and increased health care costs. Several studies recommended the active cycle of breathing technique as a method that increases secretion removal and improves lung functions, thus reducing the incidence of postoperative pulmonary complications. Our study aims to investigate the effect of the active cycle of breathing technique on coronary artery bypass graft patients' outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Triple (Participant, Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Any adult patient who will undergo CABG
Exclusion Criteria
- •Mechanically ventilated patients on the first postoperative day.
- •Patients with preoperative lung collapse or pleural effusion.
Arms & Interventions
Active Cycle of Breathing Technique
Patients who will perform ACBT exercises in addition to the routine ICU care.
Intervention: Active Cycle of Breathing Technique (Other)
Control Group
Patients who will receive routine ICU care (chest physiotherapy and incentive spirometer) without ACBT.
Outcomes
Primary Outcomes
Atelectasis
Time Frame: The first three postoperative days
Atelectasis will be assessed using chest X-rays.
Dyspnea
Time Frame: The first three postoperative days
Dyspnea level will be assessed using the modified Borg scale.
Functional capacity
Time Frame: The first three postoperative days
Functional capacity will be assessed using the six-minute walk test
Hemodynamic parameters
Time Frame: The first three postoperative days
Hemodynamic parameters will include respiratory rate expressed as the number of cycles per minute, which will be assessed using the cardiac monitor
Chest expansion
Time Frame: The first three postoperative days
Chest expansion will be measured at three points (axillary, xiphoid point, and umbilical level) using a measuring tape in centimeters.
Duration of chest tube
Time Frame: Up to 1 week
Duration of chest tube
Length of ICU stay
Time Frame: For up to 1 week
Measure the duration of the patient's ICU stay
Hemodynamic Parameters
Time Frame: For the first three postoperative days
Hemodynamic parameters will include oxygen saturation, which will be assessed using the pulse oximeter and will be expressed as a percentage %
Secondary Outcomes
No secondary outcomes reported
Investigators
Shaimaa Nagi Abdelkader Yousef
Demonstrator of Critical Care and Emergency Nursing
Mansoura University