The Effect of Incentive Spirometer Verses Conventional Chest Physiotherapy on Pulmonary
Complications in Coronary Artery Bypass Grafting Patients.
Mrunal Mahesh Wable
Department of Orthopaedics, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed University, Karad, India
*Corresponding Author:Mrunal Mahesh Wable, Department of Orthopaedics, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences Deemed University, Karad, India.
Received:
August 19, 2022; Published: November 11, 2022
Abstract
Background: The purpose of this study was to identify the post pulmonary complication faced by the coronary artery bypass grafting patients. So that the most effective treatment is reviewed and selection of incentive spirometer exercise, conventional chest physiotherapy with early mobilization is chosen as the line of treatment. It may improve health status by improving the functional capacities and there by enhance the aerobic performance of an individual. The value of chest physiotherapy has recently been established and accepted but it is still unclear which treatment techniques are most effective. Early mobilization and breathing exercises are often the first choice of treatment, but evidence as to the optimal intensity, timing and choice of exercises is scarce. There are only limited published literatures on how the cardiac surgery patient should be exercised with incentive spirometer and mobilizes during the first postoperative period in hospital.
Aim and objectives: To find the effectiveness of incentive spirometer and conventional chest physiotherapy on pulmonary complications in coronary artery bypass grafting patients.
Material and Method: Intervention was given preoperatively and post operatively. Then the patient was divided into two groups are Group A Incentive spirometer, Group B Conventional chest physiotherapy. All the participants were receive the selected treatment for 2 session’s minimum pre operatively and 6 sessions post operatively. Material used are inch tape and pulmonary function test machine
Result: chest expansion pre and postoperatively shows there is extremely significant difference in group A. chest expansion postoperatively shows there is very significant difference between group A and GroupB.FEV1/FVC there is very significant difference between Group A and Group B.
Conclusion: Based on statistical analysis for results, the present study concluded that, incentive spirometer training was significantly effective compared with conventional chest physiotherapy on pulmonary complications in coronary artery bypass grafting patients.
Keywords: Coronary Artery Bypass Grafting; Incentive Spirometer; Conventional Chest Physiotherapy
References
- Garbossa A., et al. “Effects of physiotherapeutic instructions on anxiety of CABG patients”. Revista Brasileira De Cirurgia Cardiovascular 3 (2009): 359-366.
- Dev B Pahlajani. “API textbook of medicine 6th edition”. published by Association of physicians of India (1999).
- F Charles Brunicardi. “Schwarth principal of surgery”. 8th edition chapter 20.
- Eagle KA., et al. “ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery)”. Journal of the American College of Cardiology 44 (2004): 213-e310.
- Tenling A., et al. “Thoracic epidural analgesia as an adjunct to general anaesthesia for cardiac surgery. Effects on pulmonary mechanics”. Acta Anaesthesiologica Scandinavica 44 (2000): 1071-1076.
- Tenling A., et al. “Thoracic epidural anesthesia as an adjunct to general anesthesia for cardiac surgery: effects on ventilation-perfusion relationships”. Journal of Cardiothoracic and Vascular Anesthesia 13 (1999): 258-264.
- Tenling A., et al. “Atelectasis and gas exchange after cardiac surgery”. Anesthesiology 89 (1998): 371-378.
- Belle AF., et al. “Postoperative pulmonary function abnormalities after coronary artery bypass surgery”. Respiratory Medicine 86 (1992): 195-199.
- Laghi F and Tobin MJ. “Disorders of the respiratory muscles”. American Journal of Respiratory and Critical Care Medicine 168 (2003): 1048.
- Takeda S., et al. “Ventilatory muscle recruitment and work of breathing in patients with respiratory failure after thoracic surgery”. European Journal of Cardio-Thoracic Surgery 15 (1999): 449-455.
- Tripp HF and Bolton JW. “Phrenic nerve injury following cardiac surgery: a review”. Journal of Cardiac Surgery 13 (1998): 218-223.
- Wynne R and Botti M. “Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice”. American Journal of Critical Care 13 (2004): 384-393.
- Tantum KR. “Respiratory care of the surgical patient with cardiac disease”. Surgical Clinics of North America 63 (1983): 1069-1079.
- Sharafkhaneh A., et al. “Overview of the perioperative management of lung volume reduction surgery patients”. Proceedings of the American Thoracic Society 5 (2008): 438-441.
- Warner DO. “Preventing postoperative pulmonary complications: the role of the anesthesiologist”. Anesthesiology 92 (2000): 1467-1472.
- Jenkins S., et al. “Physiotherapy managment following coronary artery surgery”. Physiotherapy Theory and Practice 10 (1994): 3-8.
- Crowe JM and Bradley CA. “The effectiveness of incentive spirometry with physical therapy for high-risk patients after coronary artery bypass surgery”. Physical Therapy 77 (1997): 260-268.
- Westerdahl E., et al. “The immediate effects of deep breathing exercises on atelectasis and oxygenation after cardiac surgery”. Scandinavian Cardiovascular Journal 37 (2003): 363-367.
- Westerdahl E., et al. “Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery”. Chest 128 (2005): 3482-3488.
- Jones AY and Dean E. “Body position change and its effect on hemodynamic and metabolic status”. Heart Lung 33 (2004): 281-290.
- Dean E. “Effect of body position on pulmonary function”. Physical Therapy 65 (1985): 613-618.
- Marini JJ., et al. “Acute lobar atelectasis: a prospective comparison of fiberoptic bronchoscopy and respiratory therapy”. The American Review of Respiratory Disease 119 (1979): 971-978.
- Bradley JM., et al. “Evidence for physical therapies (airway clearance and physical training) in cystic fibrosis: an overview of five Cochrane systematic reviews”. Respiratory Medicine 100 (2006): 191-201.
- Siafakas NM., et al. “Surgery and the respiratory muscles”. Thorax 54 (1999): 458-465.
- Weiner P., et al. “Inspiratory muscle training during treatment with corticosteroids in humans”. Chest 107 (1995): 1041-1044.
- Enright SJ., et al. “Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy”. Physical Therapy 3 (2006): 345-354.
- McConnell AK and Romer LM. “Respiratory muscle training in healthy humans: resolving the controversy”. International Journal of Sports Medicine 25 (2004): 284-293.
- Donna frown felter Elizabeth Dean. “Cardiovascular and pulmonary Physical therapy”. 4th edition (2006): 326-328.
- Kisner C and Colby LA. “Therapeutic Exercise Foundation and Techniques. 5th edition New Delhi, Jaypee Brothers Medical Publishers (2007).
Citation
Copyright