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| ID | Type | Description | Link |
|---|---|---|---|
| 320 | Registry Identifier | Ethical Committee, Faculty of Nursing, Mansoura University |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Cycle of Breathing Technique | Experimental | Patients who will perform ACBT exercises in addition to the routine ICU care. |
|
| Control Group | No Intervention | Patients who will receive routine ICU care (chest physiotherapy and incentive spirometer) without ACBT. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active Cycle of Breathing Technique | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Atelectasis | Atelectasis will be assessed using chest X-rays. | The first three postoperative days |
| Dyspnea | Dyspnea level will be assessed using the modified Borg scale. | The first three postoperative days |
| Functional capacity | Functional capacity will be assessed using the six-minute walk test | 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 | 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. | The first three postoperative days |
| Duration of chest tube | Duration of chest tube | Up to 1 week |
| Length of ICU stay | Measure the duration of the patient's ICU stay | 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 % |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiothoracic and Vascular Surgery Center | Al Mansurah | Dakahliya | Egypt |
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| For the first three postoperative days |