Pulmonary Function Status After Implementing Chest Physiotherapy for Extubated Cardiothoracic Surgery Patients

Abstract

Chest physiotherapy considered basic nursing interventions for patients undergoing cardiothoracic surgery to improve breathing efficiency, oxygenation and pulmonary functions. Aim of the study: to evaluate the pulmonary function status after implementing chest physiotherapy for extubated cardiothoracic surgery patients. Design: Quasi experimental research design (study and control) was used in this study. Setting: cardiothoracic intensive care unit and cardiothoracic department at cardiothoracic hospital that belongs to Minia University Hospitals, Egypt. Two tools: 1. Socio demographic and medical Assessment sheet. 2. Oxygenation level assessment sheet. Results: mean age of study and control groups were (38.4±5.4) & (37.2±4.8) year respectively. (40%) from the study group suffered myocardial infarction and did coronary angioplasty, (43.3%) of the control suffered coronary artery stenosis (33.3%) among them did coronary angioplasty. Regarding breathing sound, and pulmonary function test there is statistical significant difference between both groups presented by p value <0.05, also there were significant difference between both groups related to all items of the arterial blood gases test presented by P value with (.031*, .004**, .020*, .013* & .003**). Conclusion: This study concluded that chest physiotherapy had a positive effect on patient's pulmonary function status which reflected on the patients outcomes post cardiothoracic surgery. Recommendations: All cardiac surgery patients should receive an explanation about chest physiotherapy before their operations.

Enhancing pulmonary function and arterial blood gas readings through immediate chest physiotherapy among extubated patients in ICU

“…For instance, a study carried out in Egypt demonstrated that implementation of chest physiotherapy resulted in a notable improvement in pulmonary function and a reduced occurrence of respiratory complications among critically ill patients. 4 Similarly, previous studies reported a positive association between chest physiotherapy and improved oxygenation, reduced hospitalization duration and decreased mortality in critically ill patients. 17 – 20 Therefore, investigating the effect of immediate chest physiotherapy on pulmonary function among extubated patients in critical care units is crucial in improving patient outcomes.…”

“…1 Studies have also found that ICPT can lower the incidence of pneumonia and lead to a shorter stay in the intensive care unit (ICU). [2][3][4][5] It is important to prevent extubation failure following a critical illness, as reintubation is associated with worse outcomes, longer hospitalization and higher rates of tracheotomies. 6,7 Severe deterioration, prolonged immobility and long-term mechanical ventilation are major risk factors for respiratory complications and muscle weakness in critically ill patients.…”

“… 1 Studies have also found that ICPT can lower the incidence of pneumonia and lead to a shorter stay in the intensive care unit (ICU). 2 – 5 It is important to prevent extubation failure following a critical illness, as reintubation is associated with worse outcomes, longer hospitalization and higher rates of tracheotomies. 6 , 7 …”