Cardiac surgery patients incentive spirometry inspiratory flow rate pulmonary function cardiac surgery
Conditions
Interventions
Receiving physical therapy treatment and performing incentive spirometry with a slow breath keeping only the first ball on the top (600 ml/sec) for 5 breaths per set, 3 sets per time and 4 times per d
Flow-oriented incentive spirometry with low inspiratory flow rate,Flow-oriented incentive spirometry with high inspiratory flow rate,Control
Sponsors
Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: 1 Patients undergoing on pump cardiac surgery with median sternotomy for correcting valvular disease or CABG 2 40 years of age or older 3 Both males and females 4 Good communication and cooperation 5 Uncomplicated cardiac event
Exclusion criteria
Exclusion criteria: 1 Respiratory diseases 2 History of cardiac arrest 3 Hemodynamic instability 4 Difficult to understand or perform the measures or physical therapeutic conducts 5 Undergoing invasive mechanical ventilation supports for a period exceeding 24 hours after admission to the intensive care unit 6 Reoperation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary function Baseline, at first six postoperative days, and follow up period of 2 weeks, 1 and 3 months Spirometric measurement,Repiratory muscle strength Baseline, at first six postoperative days, and follow up period of 2 weeks, 1 and 3 months Maximum Inspiratory Pressure and Maximum Expiratory Pressure,Dyspnea score Baseline and at first six postoperative days Borg�s RPE scale,Six minute walk distance on the discharge day and follow up period of 2 weeks, 1 and 3 month Six minute walk test | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score Baseline and at first six postoperative days visual analog scale,Quality of life Baseline and follow up period of 2 weeks, 1 and 3 month 36-Item Short Form Health Survey,Length of hospital stay on the discharge day record,Postoperative complication During hospital stay and follow up period of 2 weeks, 1 and 3 months record | — |
Countries
Thailand
Contacts
Public ContactSukalya Kritsnakriengkrai
Srinakharinwirot University
Outcome results
None listed