Comparing the Effect of Incentive Spirometry with Acapella on Blood Gases in Physiotherapy After Coronary Artery Bypass Graft

Abstract

To compare the effect of incentive spirometry with Acapella (Smiths Medical Inc, Carlsbad, California) in physiotherapy after coronary artery bypass surgery. Methods A randomized controlled trial comparing incentive spirometry with Acapella was conducted in the intensive care unit of Chaudhary Pervaiz Elahi Institute of Cardiology (CPEIC) Multan. The study began from December 2017 to August 2019 after getting approval from the ethical committee of the hospital. Informed written consent was taken from all 270 patients who were included in the study. Patients who underwent coronary artery bypass graft (CABG) were divided into two groups by the lottery method. The primary end-point of the study was to check the blood gases on Day 3 after the procedure at room air and compare it with the baseline and with blood gases immediately after the procedure. SPSS 23 (IBM Corp., Armonk, NY) was used to analyze the data of this study. For qualitative variables in data such as gender, place of living, patients with any comorbidities, and education status were statistically analyzed in percentage and frequencies. For numerical variables, such as age, body mass index, blood gases values, distance covered in a six-minute walk test, and spirometry values were analyzed and statistically measured as mean and standard deviation. A P-value of less than .05 was considered significant.

Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study

“…Furthermore, the findings of Alam et al [23] agree with ours. In this study, they compared the effects of incentive spirometry and Acapella on blood gases.…”

Is Incentive Spirometry Superior to Standard Care in Postoperative Cardiac Surgery on Clinical Outcomes and Length of Hospital and Intensive Care Unit Stay? A Systematic Review with Meta-Analysis

“…The studies involved 1,677 patients, with ages ranging from 38.3 to 65 years [ 31 , 45 ] , sample sizes ranging from 16 to 270 participants [ 43 , 46 ] , and study follow-up time ranging from two days to hospital discharge ( Table 1 ) [ 33 , 39 , 40 , 42 ] . Regarding the characteristics of the surgery and intervention, 74% of patients underwent CABG, 48% of patients received treatment using volume-oriented IS, 39% of patients used flow-oriented IS, and three studies did not have enough information to determine whether the type of spirometer was flowor volume-oriented ( Table 2 ) [ 39 , 46 , 48 ] . The hospital LOS ranged from 6.5 to 12.5 days, and the length of ICU stay ranged from 2.61 to 6.87 days ( Table 3 ).…”

“…On item 10, all studies met the criteria. In the classification of the PEDro scale, 16 (69.6%) studies were judged as having “fair” [ 24 , 27 , 28 , 30 , 31 , 35 , 37 - 44 , 47 , 48 ] , four (17.4%) as “good” [ 32 - 34 , 45 ] , three (13%) as “poor” [ 29 , 36 , 46 ] , and zero (0%) as “excellent” quality ( Table 5 ). Considering the low methodological rigor of the studies included in this review, we were not able to perform sensitivity analysis including only high-quality studies.…”

Evaluation of effectiveness of vibroacoustic lung massage self-breathing in patients after cardiosurgical operations

“…Учитывая, что почти половина больных, вошедших в исследование (43,6%), отмечают положительную динамику отхождения мокроты после сеанса (p<0,001), можно говорить о положительном влиянии виброакустического массажа легких на ее пассаж. Эти эффекты близки к полученным при использовании виброжилетов и осцилляторной терапии с положительным давлением в конце выдоха (PEP-терапии), помогающих откашливанию мокроты и способствующих стабилизации или улучшению оксигенирующей функции легких у пациентов различного профиля (хирургического, у больных с хронической бронхоэктатической болезнью и обструктивной болезнью легких) [24][25][26][27][28][29].…”