Post-cardiac Surgery
Conditions
Keywords
Continuous Positive Airway Pressure, Coronary Artery Bypass Graft Surgery, Inpatients Rehabilitations
Brief summary
Different studies reported that CPAP is effective to prevent respiratory complication in post CABG patient and have greater impact on walking time, ventilatory function and breathing pattern.
Detailed description
The walking time (6 minute walk test), effect on arterial blood gasses and long term effects of CPAP on cardiac activity, the previous studies focus only on the acute effects of CPAP along with specific exercises but did not tell about the long term effects. based on these finding this study is design to assess the effectiveness of CPAP in Post-op CABG patients regarding there early mobilization, walking time, ABGs and Ejection Fraction as there prognostic parameters in both phase-1 cardiac rehabilitation within hospital as well as in long-term prognosis, is of great interest.
Interventions
OTHERContinuous Positive Air Way Group
CPAP between 10 and 12 cmH2O
OTHERControl Group
Day 1: Bed mobility chest physiotherapy, active assistive ROM 5 repetitions of upper and lower limb, ACBT cycle. ABGS was analyses at first minute of exercise and vital was record after exercise. Day 2: Active range of motion exercise progress with 5 repetitions bed to chair mobility. same exercise progress with 5 repetition and 5 minute walk( day 3rd ).walking time will increase with 10 min at 4 day and at 5th day stair climbing the ABGS was record in ICU 3 days.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
35 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* age between 35 to 60 years. * With a clinical diagnosis of coronary artery disease, underwent elective CABG (Acute)
Exclusion criteria
* Low ejection friction (15%) * Patient those who have any arrhythmias * Unstable angina * Patient having pace maker and implantable cardioverter defibrillator * COPD and asthmatic patient * Patient having BMI more then 40
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial Blood Gasses | 3 days | measures oxygen and carbon dioxide levels in your blood. It also measures your body's acid-base (pH) level, which is normally balanced when you are healthy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6 minute walk test | 3 days | gold standard test to measure exercise capacity and requires less physical space and allows for easier monitoring of vital parameters |
| Ejection Fraction | 4 week | expressed as a percentage, of how much blood the left ventricle pumps out with each contraction. |
| Short Form 12 Questionnaire | 4 weeks | measuring tool for mental and physical health components. It consists of 12 questions which cover the eight health domain with one or two question per domain |
Countries
Pakistan
Outcome results
None listed