Effects of Acapella VS Chest Physiotherapy on Dyspnea, Pulmonary Functions and Air Way Clearance in Post-Operative CABG Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- FEV1/FVC
研究概览
简要总结
Coronary artery bypass grafting (CABG) is a surgical procedure that is performed to improve blood flow to the heart by bypassing blocked or narrowed arteries. CABG is a major surgery that is associated with significant postoperative complications, including pulmonary complications such as atelectasis and pneumonia. Chest physiotherapy is commonly use to prevent and treat these complications, but its effectiveness in post-operative CABG patients is not well established.
The purpose of this study is to evaluate the effects of Acapella device vs chest physiotherapy on pulmonary function, airway clearance and dyspnea in post-operative CABG patients. The group A will receive (baseline treatment aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition to using Acapella), while the group B will receive base line treatment. aerosol therapy, ACBT, Mobilization, breathing with arm elevation with addition chest physiotherapy percussing for 20 minute The primary outcome measures of the study will be pulmonary function tests, including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC, and Modified Borg dyspnea scale . The secondary outcome measures will be the amount of sputum cleared. The study will be conducted over a period of 6 months after approval of synopsis.
The study will be conducted in a tertiary care hospital in Lahore, Pakistan. Patients who have undergone CABG surgery will be screen for eligibility and those who meet the inclusion criteria will be enroll in the study. Patients who have a history of chronic lung disease, smoking, intubated patient or other respiratory conditions will be exclude from the study
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 55 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •both gender
- •Patients aged between 55-70 years
- •Vitally Stable
- •extubated post-CABG day 01 patients
- •Patient undergone for the 1st time CABG
排除标准
- •With a history of chronic obstructive pulmonary disease or asthma patient
- •Intubated patient
- •Surgical complication after CABG
- •With a history of smoking
- •Patients who have undergone thoracic surgery in the past
- •Patients with a history of neuromuscular disorders
- •Patients with a history of heart failure
- •Vitally unstable or on ventilator post CABG patients
研究组 & 干预措施
Experimental Group A (ACAPELLA)
Group A (baseline treatment + acapella)
干预措施: Base Line + ACEPELLA (Other)
Experimental Group B (MANUAL CHEST PHYSIOTHERAPY)
Group B (baseline + manual chest physiotherapy)
干预措施: Base Line + Manual Chest Physiotherapy (Other)
结局指标
主要结局
FEV1/FVC
时间窗: 1 week
digital spirometer device will be used to take readings of FEV1/FVC. Readings will be taken at 1st post op day and after 1st post op week
Modified Borg Dyspnea Scale
时间窗: 1 week
It is a subjective tool to assess degree of dyspnea in patients. The comprise of 10 grades starting from zero to 10. Zero refers to 'No difficulty in breathing at all 'and 10 refers to 'maximal difficulty ' Readings will be taken at 1st post op day and after post op week 1
FEV1
时间窗: 1 week
digital spirometer device will be used to take readings of lung volumes in (ml). These measurements are part of a pulmonary function test, which helps diagnose and monitor respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis. Readings will be taken at 1st post op day and after 1st post op week
FVC
时间窗: 1 week
digital spirometer device will be used to take readings of lung capacities in (ml). These measurements are part of a pulmonary function test, which helps diagnose and monitor respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis. Readings will be taken at 1st post op day and after 1st post op week
sputum volume
时间窗: 1 Weeks
A sputum collection jar will be used to record the amount of sputum produced by a patient over a specific period of time in (ml). Sputum is a mixture of saliva and mucus that is expectorated from the lungs. By tracking the amount and consistency of sputum, healthcare professionals can monitor the progression of respiratory conditions and assess the effectiveness of treatment. The readings of these outcome measure will be taken two times. 1st post op day and after 1st week
次要结局
- SaO2 (%)(1 week)
- respiratory rate( breaths/minute)(1 week)
- SpO2 (%)(1 week)
- blood pressure (mmHg)(1 week)
- body temperature(degree centigrade)(1 week)
- pulse rate (beats/minute)(1 week)
- PaO2 (%)(1 week)
- PaCO2 (%)(1 week)