coronary heart disease. Atherosclerotic heart disease Coronary (artery): atheroma atherosclerosis disease sclerosis
Conditions
Interventions
Intervention 1: In intervention group: patient learns how to breathe ,then measurement of diaphragm muscle strength would be done by power breath. After surgery and emitting chip pipe patient deepens
Rehabilitation
In intervention group: patient learns how to breathe ,then measurement of diaphragm muscle strength would be done by power breath. After surgery and emitting chip pipe patient deepens on situation ( s
In control group: patient learns how to breathe ,then measurement of diaphragm muscle strength would be done by power breath. After surgery and extubation based on doctor's command , physiotherapy wo
Sponsors
Vice chancellor for research of Shahid Rajaei Cardiovascular Medical and Research Center, Iran Univ
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Age of participants must be 20-65 years old; The surgery must be elective; The participants must not be so sleepy and agitated ( RASS between -2 and +2); The participants must not have cardiac arrhythmia; LVEF >30% Exclusion criteria: Having long-term mechanical ventilation (more than 48 hours); Difficulties in movement after surgery; Cardiac arrest during or after surgery; Disable to communicate because of neurological, visual or auditory disorders; If each contraindication happened in early mobilization ( FIO2 >85%, PEEP>15 , severe heart ischemic, uncontrolled cardiac arrhythmia, impermanent blood pressure despite receiving vasopressors, open sternum? LVEF less than 30% ) 6- Known case of pulmonary disease ( diaphragm disorder, COPD, hemothorax, pleural effusion, etc); History of thoracic surgery.; Smoking.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PIMAX: maximum pressure that patient must overcome it to bring more air into lung. SINDEX: quality criterion for measuring the breathing muscle power which is based on comparison by the amounts of same normal age, gender, height and weight. Timepoint: patient before surgury and afther surgury and both tow group. Method of measurement: Collecting data tools for this study is power breath device which its producer is KS POWER made in England. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Oxygen saturation. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Blood pressure. Timepoint: before and during admission in ICU. Method of measurement: monitoring.;Number of days admitted to ICU. Timepoint: during admission in ICU. Method of measurement: nursing report.;Number of stages done in early mobilization protocol. Timepoint: during admission in ICU. Method of measurement: observation by researcher.;Respiratory rate. Timepoint: before and during admission in ICU. Method of measurement: monitoring. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSara Lotfian
Rajaei Cardiovascular Medical and Research Center
Outcome results
None listed