Following CABG surgery, patients are at risk for several complications. One of the most common complications is postoperative pulmonary complications, which include atelectasis and dyspnea. These complications cause prolonged ICU length of stay and increased health care costs. Several studies recommended the active cycle of breathing technique as a method that increases secretion removal and improves lung functions, thus reducing the incidence of postoperative pulmonary complications. Our study aims to investigate the effect of the active cycle of breathing technique on coronary artery bypass graft patients' outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
92
* Patients will assume the sitting position and relax their shoulders, then perform the following: 1. Breathing control (abdominal breathing) 2. Chest expansion (thoracic breathing) 3. Huff cough (forced expiratory technique) * After completing the above actions, patients will be asked to cough up the residual deep sputum to promote pulmonary expansion. * The ACBT intervention will be performed for three days, each day two sessions, each session three courses, with 10 minutes of rest between them as needed.
Cardiothoracic and Vascular Surgery Center
Al Mansurah, Dakahliya, Egypt
Atelectasis
Atelectasis will be assessed using chest X-rays.
Time frame: The first three postoperative days
Dyspnea
Dyspnea level will be assessed using the modified Borg scale.
Time frame: The first three postoperative days
Functional capacity
Functional capacity will be assessed using the six-minute walk test
Time frame: The first three postoperative days
Hemodynamic parameters
Hemodynamic parameters will include respiratory rate expressed as the number of cycles per minute, which will be assessed using the cardiac monitor
Time frame: The first three postoperative days
Chest expansion
Chest expansion will be measured at three points (axillary, xiphoid point, and umbilical level) using a measuring tape in centimeters.
Time frame: The first three postoperative days
Duration of chest tube
Duration of chest tube
Time frame: Up to 1 week
Length of ICU stay
Measure the duration of the patient's ICU stay
Time frame: For up to 1 week
Hemodynamic Parameters
Hemodynamic parameters will include oxygen saturation, which will be assessed using the pulse oximeter and will be expressed as a percentage %
Time frame: For the first three postoperative days
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