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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IS | Experimental | 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). |
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| IMT | Experimental | 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). |
|
| Control group | Active Comparator | 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). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Incentive spirometry | Device | 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). |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Baseline 5 days pre-surgery , Immediately after the surgery within 48 hours , and through study completion an average of 8 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Atelactasis | Assessment of lung collapse using chest X-ray and CT or clinical findings. | 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eman A Ismail | Contact | +201126821576 | e.mohsen.637496@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zagazig University Hospitals | Zagazig | Alsharqia | 44519 | Egypt |
data is available with a corresponding offer on reasonable request
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| Inspiratory muscle trainer | Device | 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). |
|
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| Routine physical therapy | Other | 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). |
|
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measuring the maximum distance a patient can walk on a flat surface in 2-minutes to evaluate functional exercise capacity. |
| 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). | Immediately after the surgery within 48 hours. |
| Mechanical Ventilation duration | the total number of hours the patient required mechanical ventilation support after CABG surgery | from the end of surgery until successful extubation . |
| D008722 | Methods |