post elective coronary artery bypass graft surgery patients post operative pulmonary complication length of hospital stay coronary artery bypass graft surgery flow oriented incentive spirometry maximal inspiratory pressure respiratory muscle strength post operative pulmonary complication length of hospital stay
Conditions
Interventions
Experimental group
Postoperative period after transfer to in-
patient ward (within 24-
36 hrs postoperation),
this group will be instructed usual physical therapy once daily by physical therapist ,
consisted of deep breathing exercise 10 times during awake hourly,
cough technique,
active exercise of both UEs and LEs (painless activity) ,
mobility and ambulation training started with sitting on bed/ out of bed on the 1st postoperative day to standing and walking on the next days.
The study group will be additionally trained and enco
lifting the ball ,
sustained the deep inspiration for 2-
3 seconds and exhalation after removing the mouthpiece. The next set will be done after normal exhalation. The physical therapist will supervise the use of IS once daily for 4 days post operations,P
control group will be instructed usual physical therapy once daily by physical therapist ,
mobility and ambulation training started with sitting on bed/ out of bed on the 1st postoperative day to standing and walking on the next days. The physical therapist will supervise breathing exerci
Flow oriented incentive spirometer (Pulmo-
Sponsors
Routine to reseach unit, Siriraj hospital
Routine to reseach unit,
Siriraj hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. age equal or more than 18 years old 2. hospital admission for elective CABG surgery 3. eligible to communicate
Exclusion criteria
Exclusion criteria: 1. endotracheal intubation period during post operation more than 36 hours 2. re intubation during post operation period due to post operative complication 3. hemodynamic instability 4. unable to perform test for maximal inspiratory pressure due to post operative complication ,worsening symptoms of the disease, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| post operative respiratory muscle strength At the 4th day of post operation Maximal inspiratory pressure (MIP), cmH2O | — |
Secondary
| Measure | Time frame |
|---|---|
| Post operative pulmonary complication Starting at post operative to the day of discharge Incicence of post operative pulmonary complication which documented by CVT surgeon,Length of hospital stay after surgery Starting at operative day to the day of discharge Length of hospital stay which documented in IPD record,Compliance rate of self breathing training Record day by day since first day postoperative to the 4th post operation Interview by the therapist ,Overall comfort score of self breathing training At the 4th day of post operation Interview by the assessor | — |
Countries
Thailand
Contacts
Public ContactWilawun Thirapatarapong
Siriraj hospital
Outcome results
None listed