Coronary Artery Bypass Graft Surgery
Conditions
Brief summary
The purpose of the study is to compare between the power lung versus acapella on airway clearance after coronary artery bypass graft surgery.
Detailed description
In this part of the study the materials and methods will be presented under the following headings: subjects, equipments, procedures of the study and statistical procedures 1. Subjects. Ninty patients of both sexes will participate in this study with an age range of 40 to 50 years old. They will be chosen from outpatient clinic, Qena University Hospital. Patients will be randomely assigned into three groups: Group A: patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration. Group B: patients will receive a two supervised session using power lung device three sets for 10 repetitions two times daily from first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, Percussion and vibration). Group C. Patients will receive only routine physical Therapy program. 2. Equipment: 1\. For evaluation: Arterial blood gases including: - paO2, paCO2, PH and O2 saturation. Spirometry measurements: - as forced vital capacity (FVC) andbforced expiratory volume in the first second (FEV1). The incidence of PPCs and the length of postoperative stay: - using the Melbourne Group Scale Dyspnea. According to the revised or modified Borg scale or rating of perceived exersion. The Rand SF 36 health survey questionnaire. 2. For treatment The power lung device. Acapella device.
Interventions
DEVICEAcapella device
patients will receive a two supervised sessions using acapella device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration.
DEVICEPower lung device
Group B. patients will receive a two supervised sessions using power lung device three sets for 10 repetitions from the first day postoperative until 7 days, in addition to routine physiotherapy program (phase I cardiac rehabilitation, breathing exercises, postural drainage, percussion and vibration.
Group C. Thirty patients will receive only routine physical Therapy program
Sponsors
South Valley University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)
Masking description
The participants are the patients who undergoing coronary artery bypass graft surgery. The care providers are the cardiothoraci surgeon and the nursing staff. The investigator is the physical Therapy ( my self)
Intervention model description
In the study three groups of patients will participated first, group A. Will receive acapella device. Second, group B. Will receive power lung device. Third, group C. Will receive only routine physical Therapy program.
Eligibility
Sex/Gender
ALL
Age
40 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* They will be from 40-50 years old. * They will be patients undergo elective CABG surgery. * Non productive cough postoperatively. * Cough pain intensity \> 5 as rated on a visual analogue scale (VAS) on postoperative day 1.
Exclusion criteria
* Patients with chronic chest diseases. * Patients with an intensive postoperative care (ICU) stay \> 48 hrs. * Uncooperative patients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial blood gases including: | One week | Partial pressure of oxygen (paO2), partial pressure of carbon dioxide (paCO2), power of hydrogen (PH)and O2 saturation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Spirometry | One week | As forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1/FVC. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Dyspnea | One week | According to revised or modified Borg or rating of perceived exertion. |
| The incidence of postoperative pulmonary complications | One week | According to Melbourne group scale. |
| Quality of life | One week | According to the Rand SF 36 health survey questionnaire. |
Countries
Egypt
Outcome results
None listed