A Comparative Study on the Effects of Incentive Spirometry and Deep Breathing Exercise on Pulmonary Functions after Uncomplicated Coronary Artery Bypass Grafting Surgery
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Purpose
Compare the effects of Incentive spirometry and deep breathing exercise on pulmonary functions after uncomplicated coronary artery bypass surgery.
Methods
Thirty two patients for elective coronary artery bypass surgery with age group of 38-68 years were included for the study. They were trained preoperatively and randomly assigned to two groups and performed either incentive spirometry or deep breathing exercises according to the group they assigned.
Measurements
Pulmonary function test variables including; FEV1, FVC, and FEV1/FVC were measured preoperatively and third postoperative day. Arterial Blood Gas analysis for PaO2, PaCO2 were done on first three postoperative days before and after the breathing exercises.
Results
Independent paired test was performed to compare between the groups, and paired test was used to compare all variables within each group. Significant differences were found in PaO2 and PaCO2 in all three postoperative days after breathing exercises. There was no significant difference between the groups.
Conclusion
The results of this study suggest that, deep breathing exercises and incentive spirometry are of equal effect, provided the patients do not have any complication after coronary artery bypass surgery.
Keywords
- Rajeev Gupta. Burden of Coronary Heart Disease in India. Indian Heart J. 2005; 57:632-638
- Luis D. Berrizbeittia, S. Tessler, I J. Jacobwitz, P. Kalpan, Linda Budzilowicz, and Joseph N. Cunningham. Effect of Sternotomy and Coronary Bypass Surgery on Postoperatiev Pulmonary Mechanics: Comparison of Internal Mammary Artery and Saphenous Vein Bypass Grafts. Chest: 1989;96: 4: 873-876.
- Serdar Cimen, Vedat Ozkul, Bulent Ketency, N. Yurtseven, R. Gunay, B. Ketency, H. Gercekoglu, M. Dermirtas. Daily Comparison Of Respirator Functions Between On-Pump And Off-Pump Patients Undergoing CABG. European J. of Cardio-Thoracic Surgery. 2003; 23:589-594
- Jo Ann Brooks-Brunn. Postoperative Atelectasis And Pneumonia. Hear&Lung. 1995; 24:94-115.
- Kathy Stiller, J. Monterello, Malcolm Wallace, Merdith Daff, Buth Grant, Sue Jenkins, H. Yates, and B. Nurs. Efficacy Of Breathing And Coughing Exercises In The Prevention Of Pulmonary Complications After Coronary Artery Surgery. Chest.1994; 05: 741-47.
- G .J. Wright, S G. Williams, R Riley,P. Marshall, L.B. Tan. Is Early, Low Level, Short Term Exercise Cardiac Rehabilitation Following Coronary Bypass Surgery Beneficial? a randomized controlled trial. Heart. 2002; 88: 83-84
- Susan C. Jenkins, S.A. Soutar, J.M. Loukota, L. C. Johnson, and John Moxham. A Comparison Of Breathing Exercises, Incentive Spirometry And Mobilization After Coronary Artery Surgery. Physiotherapy Theory And Practice. 1990; 6:117- 126
- Marc Estenne, J. C. Yernault, J. M.Desmet, A. De Froyer. Phrenic And Diaphragm Function After Coronary Artery Bypass Grafting. Thorax. 1985; 40:293-299.
- Robert E. Dales, G. Dionne, J.A. Leech, M. Lunau, and Irwin Schweitzer. Preoperative Prediction Of Pulmonary Complications Following Thoracic Surgery. Chest. 1993; 104:155-59.
- Shenkman, Y.G. Weiss, B. Bleiberg, and D. Gross. The Effects Of Cardiac Surgery On Early And Late Pulmonary Functions. Acta Anaesthesiol Scand. 1997; 41:1193-1199.
- Elisabeth Westerdahl, B. Lindmark, T Erikson , G. Hedenstierna, and Arne Tenling. The Immediate Effects Of Deep Breathing Exercises On Atelectasis And Oxygenation After Cardiac Surgery. Scand Cardiovasc J. 2003; 37:363- 367.
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