Condition 1: Coronary artery bypass graft surgery. Condition 2: Atelectasis. Atherosclerosis of coronary artery bypass graft(s) without angina pectoris Atelectasis
Conditions
Interventions
Intervention 1: Intervention group: The patient is instructed in diaphragmatic breathing and bud lip breathing, and motivational spirometry and effective coughing are performed in combination.The ment
Sponsors
Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 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
Exclusion criteria
Exclusion criteria: 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Hedayat Jafari
Mazandaran University of Medical Sciences
Outcome results
None listed