The Immediate Effects of Breathing Exercises with Acapella and Incentive Spirometer on Preventing Early Pulmonary Complications Following Cabg. - A Comparitive Study

Chaudhary, Sachin; Chaudhary, Neha; Ghewade, Babaji; Mahajan, Gaurav

doi:10.31782/ijcrr.2020.121710

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…Use of Acapella did not change lung function following lung resection surgery 20 or bronchiectasis, 24 however a significant improvement in lung volumes was observed in patients who had undergone upper abdominal surgeries, 45 video-assisted thoracic surgery 46 and CABG. 47 The change in lung volumes observed in this study could be a cumulative effect of breathing exercises 19 , 30 and better airway clearance due to Acapella.…”

Section: Discussionmentioning

confidence: 62%

Effectiveness of Acapella along with institutional based chest physiotherapy techniques on pulmonary functions and airway clearance in post-operative CABG patients

Jage

Thakur

2022

Hong Kong Physiother. J.

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Background: Patients undergoing Coronary Artery Bypass Graft (CABG) surgery often develop pulmonary complications in the early post-operative period as result of decreased lung function and impaired cough. Conventional physiotherapy in early post-operative period aims at increasing lung volumes and airway clearance. Objective: This study aimed to determine the effectiveness of the addition of Acapella to conventional chest physiotherapy in improving lung volumes and secretion clearance in early post-operative CABG patients. Methods: Twenty patients of both genders (40–70 years) who had undergone CABG and were in Phase I of Cardiac Rehabilitation were involved in this pilot randomized control trial (9 control, 11 experimental). Post-surgery intervention commenced on post-operative day 2 (POD 2) and continued till POD 6. Patients in the control group were given conventional physiotherapy that included breathing exercises, incentive spirometry and manual techniques. Patient in the experimental group used an Acapella device along with the conventional intervention. Outcome measures considered were pulmonary function parameters (FVC, FEV1 & PEFR) and amount of sputum expectorated. Results: A significant increase in lung volumes was observed in both the groups on POD 6 as compared to POD 2 ([Formula: see text]). However, the increase was significantly greater on POD 6 in experimental group than the control group [mean difference (95% CI) FVC: 0.44[Formula: see text]L (0.24–0.63), FEV1: 0.43[Formula: see text]L (0.19–0.66), PEFR: 0.86[Formula: see text]L/s (0.57–1.14)]. The amount of sputum expectoration significantly greater in the experimental group as compared to the control group [2.71[Formula: see text]mL (0.53–4.90)]. Conclusion: The addition of Acapella enhanced the effect conventional physiotherapy in improving lung volumes and airway clearance in the early post-operative period for CABG patients.

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Section: Discussionmentioning

confidence: 62%

Effectiveness of Acapella along with institutional based chest physiotherapy techniques on pulmonary functions and airway clearance in post-operative CABG patients

Jage

Thakur

2022

Hong Kong Physiother. J.

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“…All participants had the following criteria: Fifty-two male and female patients after thoracic surgery (coronary artery bypass graft, valve repair or replacement and aortic aneurysm) referred by physician, medically stable patients (normal range of heart rate, blood pressure and oxygen saturation on room air), both genders (10), age 50-75 years old [10,11], BMI 25-29.9kg/m 2 [12,13].…”

Section: Inclusion Criteriamentioning

confidence: 99%

Efficacy of Bubble Positive Expiratory Pressure Device in Post Thoracic Surgery Patients

OMNIA M. NAGIB, M.Sc.*; FATMA S.

2024

The Medical Journal of Cairo University

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Background: Pulmonary complications are common after cardiac surgery such as reduction of oxygen saturation, pneumonia, pulmonary embolism and pleural effusions. Pulmonary complications after cardiac surgery result in prolonged hospitalization and increase in healthcare cost, patients have limited homeostatic reserve associated with chronic heart failure, pulmonary illness and multiple comorbidities. Aim of Study:To investigate the effect of bubble positive expiratory pressure device on arterial blood gases and chest expansion measurement in post thoracic surgery patients.Patients and Methods: Fifty-two (52) male and female patients after thoracic surgery their age 50-75 years; randomly allocated into equal two groups. Group A (control group) received conventional treatment including diaphragmatic breathing exercises and pursed lip breathing exercises, Group B (study group) received conventional treatment and bubble positive expiratory pressure device. The treatment was applied two times per day for one week. Arterial blood gases measured by arterial blood gases device and chest expansion measured by tape measurement preand post-treatment. Results:The study group (B) showed statistical significance reduction in partial pressure of carbon dioxide in arterial blood (PaCO 2 ) and improvement in partial pressure of oxygen in arterial blood (PaO 2 ) and arterial oxygen saturation (SAT) than control group (A). There was no significance difference in acid-base balance of the blood (PH), concentration of bicarbonate in arterial blood (HCO 3 ) and chest expansion measurement between study group (B) and control group (A). Conclusion:Bubble positive expiratory pressure device and conventional treatment improve PaO 2 and SAT and reduces PaCO 2 in patients after thoracic surgeries than conventional treatment alone.

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“…Inhalasi mendalam dapat memobilisasi sekresi dan membuka area paru-paru dan melatih paru-paru. (Chaudhary et al, 2020)…”

Section: Upperunclassified

Kombinasi Deep Breathing Dan Chest Mobility Dalam Meningkatkan Kapasitas Paru Pada Kasus Efusi Pleura

Pahlawi,

Zahra

2023

JFKI

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Latar belakang : Efusi pleura merupakan suatu keadaan yang ditandai dengan adanya penumpukan cairan pada rongga pleura yang berada di permukaan pleura visceral dan pleura pariental. Selain berisi cairan, dalam efusi pleura juga terdapat penumpukan pus dan darah. Penderita efusi pleura umumnya mengeluhkan sesak napas, nyeri pada area dinding dada, pola napas yang tidak efektif, gangguan postur, penurunan ekspansi dada yang akan berdampak pada penurunan kapasitas paru. Pemberian deep breathing diperkirakan mampu mengurangi kerja pernapasan dan meningkatkan efisiensi ventilasi pernapasan. Chest mobility efektif dalam meningkatkan mobilitas dada, meningkatkan ventilasi pernapasan, mengontrol inspirasi dan ekspirasi. Tujuan : untuk mengetahui pengaruh pemberian deep breathing dan chest mobility dalam meningkatkan kapasitas paru pada kasus efusi pleura. Metode : Studi kasus tunggal dengan diberikan intervensi fisioterapi pada pasien dengan diagnosis efusi pleura berumur 52 tahun berupa latihan deep breathing dan chest mobility selama 6 kali evaluasi. Penilaian sesak diukur menggunakan dyspnea severity scale, ekspansi thoraks dengan midline dan kapasitas paru berupa volume inspirasi dengan incentive spirometry. Hasil : Studi kasus ini menunjukan bahwa terdapat penurunan sesak, peningkatan ekspansi thoraks dan peningkatan kapasitas paru pada volume inspirasi dengan nilai 500 ml menjadi 800 ml. Kesimpulan : Studi ini menunjukan bahwa terdapat peningkatan kapasitas paru setelah diberikan deep breathing dan chest mobility.

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The Immediate Effects of Breathing Exercises with Acapella and Incentive Spirometer on Preventing Early Pulmonary Complications Following Cabg. - A Comparitive Study

Cited by 10 publications

References 9 publications

Effectiveness of Acapella along with institutional based chest physiotherapy techniques on pulmonary functions and airway clearance in post-operative CABG patients

Effectiveness of Acapella along with institutional based chest physiotherapy techniques on pulmonary functions and airway clearance in post-operative CABG patients

Efficacy of Bubble Positive Expiratory Pressure Device in Post Thoracic Surgery Patients

Kombinasi Deep Breathing Dan Chest Mobility Dalam Meningkatkan Kapasitas Paru Pada Kasus Efusi Pleura

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