Effect of Active Cycle of Breathing Technique as Add on to Routine Chest Physical Therapy on Respiratory Parameters in Coronary Artery Bypass Graft Patients

Summary

A controlled trial was conducted to determine the effect of the active cycle of breathing technique (ACBT) in improving respiratory parameters after coronary artery bypass graft surgery. The main aim of this study was to determine the effects of pre and postoperative active cycle of breathing technique (ACBT) in coronary artery disease patients undergoing coronary artery bypass graft surgery in improving respiratory parameters such as arterial blood gas (ABG), oxygen saturation (SpO2) and respiratory rate. The intervention group performed an active cycle of breathing technique with routine chest physical therapy while the control group performed routine chest physical therapy. Arterial blood gas (ABG), oxygen saturation (SpO2), and respiratory rate were measured at baseline and five days after surgery, every 2 hours on postoperative days 1, 2, and 3 and 4 hours on days 4 and 5.

Participants in the intervention group performed preoperative routine chest physical therapy sessions were followed as:

* Incentive spirometry, 3 sessions per day, 10 repetitions
* Percussions, 3 sessions per day, 20 repetitions
* 3-minutes walking, 2 sessions per day
* ACBT, 3 sessions per day

The preoperative chest physiotherapy treatment plan was continued after CABG surgery. In addition to these, the following were included postoperatively:

* Nebulization, 3 sessions per day
* 3 minutes of walking, 2 sessions per day
* ACBT, 3 sessions per day While participants in the control group performed the same pre and postoperative sessions except ACBT.

Conditions

• Coronary Artery Bypass Graft

Interventions

PROCEDURE

Active cycle of breathing technique, incentive spirometer, percussion, 3-minute of walking

The intervention group: patients were asked to perform Active cycle of breathing technique as add on to routine chest physical therapy such as Incentive spirometer, percussion, 3-minute of walking 3 days before surgery and five days postoperative. * Incentive spirometry, 3 sessions per day, 10 repetitions * Percussions, 3 sessions per day, 20 repetitions * 3-minutes walking, 2 sessions per day * ACBT, 3 sessions per day the following were included postoperatively: * Nebulization, 3 sessions per day * ACBT, 3 sessions per day

PROCEDURE

incentive spirometer, percussion, 3-minute of walking

The control group The routine CPT was performed 3 days before surgery at the preoperative bay and 5 days after surgery in the ICU with 3 sessions each day. Preoperative chest physical therapy sessions were followed as: * Incentive spirometry, 3 sessions per day, 10 repetitions. * Percussions, 3 sessions per day, 20 repetitions. * 3-minutes walking, 2 sessions per day The preoperative chest physiotherapy treatment plan was continued after CABG surgery. In addition to these, the following were included postoperatively: * Nebulization, 3 sessions per day * 3-minutes walking, 2 sessions per day

Sponsors & Collaborators

• Sadaf Bukhari

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

FACTORIAL

Eligibility

Min Age

30 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-03-01

Primary Completion

2024-12-01

Completion

2024-12-20

Countries

• Pakistan

Study Locations