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
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.
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 .
Parallel
Incentive spirometry
DeviceThis 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 trainer
DeviceThis 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 therapy
Other intervention15 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).
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.
Atelactasis
Assessment of lung collapse using chest X-ray and CT or clinical findings.
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.
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).
Mechanical Ventilation duration
the total number of hours the patient required mechanical ventilation support after CABG surgery
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options:
