Incentive Spirometry Versus Inspiratory Muscle Training After Coronary Artery Bypass Grafting

N/ANot Yet RecruitingNCT07367945

Cairo University45 enrolled

Overview

This study will be conducted to compare between incentive spirometry verses inspiratory muscle training preoperatively on (ABG) after coronary artery bypass graft surgery. Is there any significant difference of preoperative incentive spirometry verses inspiratory muscle training on Arterial blood gases (ABG) after coronary artery bypass graft surgery? Participants will: Group A (incentive spirometry group ) Group B (Inspiratory muscle trainer group ) for 5 days before operative Group C (control group) and group a , b will have routinely postoperative

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Coronary Artery Bypass Graft (CABG)

Interventions

This group will include 15 patients, Incentive spirometry was utilized by the patient with ten breaths, six sets per day for a period of 10 min within patient tolerance in every session for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Inspiratory muscle trainerDEVICE

This group will include 15 patients, each session consisted of 30 minutes of inspiratory muscle training. The patients were trained to use an inspiratory threshold-loading device (Threshold Inspiratory Muscle Training) for five days with routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Routine physical therapyOTHER

15 patients will receive for 5 days routinely physical therapy program (education and explanation) preoperatively, And postoperatively treatment (breathing treatment, deep-breathing applications, guided coughing, early mobilization).

Eligibility

Sex: MALEMin age: 50 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 45 male patients will be included in this study. * Patients with age from 50 to 60 years old (undergoing coronary artery bypass graft surgery) through median sternotomy. * Their body mass index from 25 to 29.9 kg/m2 * Patients will be alert and able to follow instruction. Exclusion Criteria: * Who are expected not to be able to conduct or comply with IS and IMT. * Patients with cognitive or neurological deficits. * Patients with coexisting acute or chronic respiratory disorders. * Patients unable to understand or show the proper use of the incentive spirometer and Inspiratory muscle training . * Patients who cannot be instructed or supervised to assure appropriate use of the device patients in whom cooperation is absent or patients unable to understand or demonstrate proper use of the devices (inspiratory muscle training and incentive spirometry). * Patients who are confused or delirious. * Patients undergoing any other surgery along with CABG. * Patients undergoing emergency CABG surgery. * Chronic obstructive pulmonary disease (COPD), asthma, restrictive lung disease, preoperative major chest infection e.g. pulmonary tuberculosis, chest deformities such as pectus carinatum, pectus excavatum, thoracolumbar scoliosis, diaphragmatic hernias diagnosed on history.

Outcomes

Primary Outcomes

Arterial Blood gas Parameters (PaO2 and SaO2)

Assessment of arterial oxygenation changes by measuring PaO2 and SaO2 . data will be collected at Baseline pre-surgery (5 days ) , Immediately after the surgery (within 48 hours) , and through study completion an average of 8 days.to evaluate the recovery trend and the effectiveness of respiratory interventions.

Time frame: Baseline 5 days pre-surgery , Immediately after the surgery within 48 hours , and through study completion an average of 8 days.

Secondary Outcomes

Atelactasis

Assessment of lung collapse using chest X-ray and CT or clinical findings.

Time frame: Baseline 5 days pre-surgery, Immediately after the surgery within 48 hours, and through study completion an average of 8 days.

Functional capacity (2- minute walk test)

measuring the maximum distance a patient can walk on a flat surface in 2-minutes to evaluate functional exercise capacity.

Time frame: Baseline 5 days pre-surgery, and through study completion an average of 8 days.

Physical function ICU test - scored (PFIT-s)

Assessment of physical function in the ICU through four components ( sit -to- stand, marching, shoulder flexion, and knee extension ) Scored (0 - 10).

Time frame: Immediately after the surgery within 48 hours.

Mechanical Ventilation duration

the total number of hours the patient required mechanical ventilation support after CABG surgery

Time frame: from the end of surgery until successful extubation .