Effectiveness of Deep Breathing Exercises and Incentive Spirometry on Arterial Blood Gases in Second Degree Inhalation Burn Patients

Abstract

Objective: To find out the effectiveness of the deep breathing exercises and incentive spirometryon arterial blood gases in second degree inhalation burn patients. Study Design: Randomised control trial. Place and Duration of Study: The study was conducted in the Burns Unit of PIMS Hospital, Islamabad from September 2017 to March 2018. Methodology: The data was collected on structured questionnaire using respiratory distress scoring and objective tools including arterial blood gases (ABGs) and vital signs with signed consent. There was random allocation of patients in the control and experimental groups. Baseline data was collected on day 00 and after completion of 14 sessions, it was recollected on day 07, and was assessed by using independent t-test and paired t-test. Both groups were given standard medical and nursing care. The experimental group was given single treatment regimen i.e. deep breathing exercises (given twice daily with 5-10 repetitions of each DBE possible onto patient for a period of 15-30 minutes). ISM was being performed on control group patients with 10-15 cycles along with steam inhalation and nebulization with beta 2 agonist for a period of 15-20 minutes for 35-45 minutes twice daily for a period of 07 days. Results: The male to female ratio was 7:8 in control group and 8:7 in the experimental group. The mean age was 29.6 ±6.66 years in the control group, and 38.4 ±4.91 years in the experimental group. The pH in arterial blood gas analysis of the experimental group was 7.33 (p=0.002) >pO 2 was 90.53 (p<0.001) and pCO2 was 41.61 (p=0.626). For control group, the pH in ABGs was 7.36 (p=0.268), pO2 was 88.06 (p=0.739) and pCO 2 was 38.86 (p<0.001). Conclusion:Deep breathing exercises are significant in improving pulmonary complications in patients of second degree inhalation burns.

Impact of Physiotherapy on Vital Signs and Blood Gases in COVID-19 Patients

“…They found that physiotherapy (respiratory physiotherapy, limb exercises, and peripheral muscle training) improved the quality of life in those patients. In addition, the results of the current study agree with the results of Malik and Tassadaq (10) , who investigated the benefits of deep breathing exercises on arterial blood gases in patients with pulmonary complications. They found that deep breathing exercises are significant in improving Pao2 and decreasing Paco2 in patients with respiratory problems.…”

The Effect of a Pulmonary Rehabilitation on Lung Function and Exercise Capacity in Patients with Burn: A Prospective Randomized Single-Blind Study

“…Significantly low values of lung diffusing capacity in patients with smoke inhalation injury confirm the inhalation injury has an impact on the proof of gas exchange [ 29 ]. Deep breathing exercises are more effective in improving the ventilatory function in patients with inhalation injury than incentive spirometry exercises [ 39 ]. The improvement of ventilatory function was confirmed by significant differences of Dlco, and the similar results to the previous study were confirmed.…”

Comparison of the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass graft surgery: A Clinical Trial

“…Overall the results showed that the incentive spirometry method was more effective than the DBE method in improving respiration and arterial SaO2. Despite these results, the ndings of another study showed that the two therapies were equally effective in improving arterial blood gases, but DBEs, in particular, were more effective in improving arterial blood gases [19]. The results of another study showed that the DBEs and incentive spirometry are equally effective in reducing the incidence of postoperative chest complications [20].…”

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