postoperative pulmonary complications,
Conditions
Interventions
2 days preoperative,
practices incentive spirometry prescribed and ABGs obtained.
incentive spirometry was used every 4 hr for 10 min for each session ,used incentive spirometry every 4 hr for 10 min for each session pos
Experimental Device,No Intervention No treatment
incentive spirometry,Control group
Sponsors
Essa Sweity (MSc )
Aidah alkaissi (PhD),Wafiq Othman (MD,
Anesthesiologist)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. 18 years or older 2. Scheduled to have coronary artery bypass grafting (CABG) 3. Patients who were well motivated and compliant.
Exclusion criteria
Exclusion criteria: 1. Patients who are expected not to be able to conduct or comply with IS,such as patients with cognitive or neurological deficits 2. Patients with coexisting acute or chronic respiratory disorders 3. Patients unable to understand or show the proper use of the incentive spirometer 4. Patients who cannot be instructed or supervised to assure appropriate use of the device 5. Patients in whom cooperation is absent or patients unable to understand or demonstrate proper use of the device 6. Patients who are confused or delirious 7. Patients undergoing any other surgery along with CABG, having prolonged mechanical ventilation (more than 24 hours). 8. Patients undergoing emergency CABG surgery. 9. chronic obstructive pulmonary disease (COPD), asthma, restrictive lung disease 10. Preoperative major chest infection e.g. pulmonary tuberculosis, chest deformities such as pectus carinatum, pectus excavatum, thoracolumbar scoliosis, diaphragmatic hernias diagnosed on history.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complication (PPC) : Atelectasis daily for 3 day postoperatively chest X-ray,Postoperative pulmonary complication (PPC) : Plural effusion , pneumonia, pneumothorax daily for 3 day postoperatively chest X-ray | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation status / PaO2/FiO2 every 6 hour's postoperatively Arterial blood gases ,ICU length of stay Days Date Count,Hospital stay Days Date Count,Mechanical ventilation duration hours Date Count | — |
Contacts
Public ContactEssa Sweity
An-Najah National University
Outcome results
None listed