Combined Effects of Active Cycle Breathing Technique and Buteyko Technique on Airway Clearance in Post Sternotomy Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sternotomy
- Sponsor
- Riphah International University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Borg dyspnea scale
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques.
Detailed Description
This randomized clinical trial seeks to compare the efficacy of the Active Cycle of Breathing Technique (ACBT) and Buteyko breathing techniques in sternotomy patients undergoing coronary artery bypass graft (CABG) surgery, aged 30 to 60. Data will be collected from Surgical Intensive Care Unit (ICU) in selected hospitals. Participants will be assigned to intervention to receiving ACBT and Buteyko breathing techniques standard protocol including chest percussion , tissue blowing exercises, incentive spirometer , cough technique, breathing control, deep breathing, and deep breathing techniques. The three-day trial, starting upon ICU/CCU admission, will measure primary and secondary outcomes before and after each session for both groups. Statistical analysis using SPSS version 25 will be employed post data collection.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 40-60 years
- •Patient underwent cardiac surgery for first time
- •Having speaking, hearing, cognitive ability
- •Both genders ( Male and female)
- •On mechanical ventilation for less than 24h after surgery
Exclusion Criteria
- •• Hemodynamic ally unstable patients
- •Patients with reopening of sternum
- •Infection patients
- •Renal failure
- •Arrhythmia
- •Patient on mechanical ventilator
- •Tuberculosis
Outcomes
Primary Outcomes
Borg dyspnea scale
Time Frame: base line and 4 week
The Borg RPE scale rates exertion from a scale of 6 (no exertion) to 20 (maximum effort). A rating between 12 to 14 typically reflects a moderate or somewhat hard level of intensity.
BREATHLESSNESS, COUGH AND SPUTUM SCALE (BCSS)
Time Frame: 4 weeks
The BCSS is a three-item patient-reported questionnaire that rates sputum, cough, and dyspnea . This instrument can identify a disease aggravation with sensitivity and specificity.