Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
September 17, 2023Journal of Nursing and Midwifery SciencesOpen Access

The Effect of Breathing Exercises on Respiratory Condition After Coronary Artery Bypass Surgery

View Full Paper
Ask AI
Bookmark
Share

Key result

Combined breathing exercises did not significantly reduce the incidence of atelectasis compared to routine care four days after coronary artery bypass graft surgery (23.1% vs 40.0%, p=0.193).

Why the study?

Respiratory complications are prevalent after CABG surgery, and breathing exercises are efficient and cost-effective techniques to address this problem.

Does a combination of breathing exercises reduce atelectasis and improve respiratory condition in patients after CABG surgery?

Population

52 CABG candidates

Comparison

Combined breathing exercises plus routine exercises vs routine breathing exercises alone

Design

Randomized controlled clinical trial

Follow-up

Four days after surgery

Authors

HJHedayat JafariMBMasoumeh Bagheri‐NesamiSKS H Khosravi

Discussion

Loading...

Member takes

Overview

Supports adding combined breathing exercises to post-CABG care to lower atelectasis; confirms multimodal respiratory physiotherapy benefits in cardiac surgery.

Study Design

Type

RCT (n=52)

Blinding

Single-blind

Randomization

Block randomization

Multicenter

No

Structured PICO

Does a combination of breathing exercises reduce atelectasis and improve respiratory condition in patients after CABG surgery?

P
Population
52 adult patients undergoing coronary artery bypass graft surgery, free of chronic respiratory diseases, followed for 4 days postoperatively.
I
Intervention
Combined breathing exercises including pursed-lip breathing (PLB), diaphragmatic breathing, incentive spirometry, and effective coughing, performed for 3 days after surgery (starting 1 hour after extubation), in addition to routine hospital breathing exercises.
C
Comparator
Routine hospital breathing exercises consisting of incentive spirometry (once per shift) and vibration (once daily).
O
Outcome
Incidence of atelectasis at 4 days after surgery, diagnosed by chest X-ray and confirmed by at least two out of three radiologists.surrogate

Main Result

Absolute Event Rate: 23.1% vs 40%

p-value: p=0.193

Combined breathing exercises after CABG surgery stabilize postoperative breathing rates and show a non-significant trend toward reduced atelectasis compared to routine care alone.

Limitations

  • Access to patients was difficult due to the COVID-19 pandemic and the possibility of virus transmission.

Cite This Study

Jafari et al. (2023) conducted an RCT in Coronary artery bypass graft (CABG) surgery (n=52). Combined breathing exercises (pursed-lip breathing, diaphragmatic breathing, incentive spirometry, and effective coughing) vs. Routine breathing exercises (incentive spirometry and vibration) was evaluated on Incidence of atelectasis 4 days after surgery (p=0.193). Combined breathing exercises did not significantly reduce the incidence of atelectasis compared to routine care four days after coronary artery bypass graft surgery (23.1% vs 40.0%, p=0.193).

synapsesocial.com/papers/6a9fba45fe80d3ecfb7c6720https://doi.org/10.5812/jnms-139183
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Predicting Daily and Instrumental Living Activities in Obese and Overweight Patients After Coronary Artery Bypass Graft Surgery2020 · 3 citations
  2. 2Complications of Coronary Artery Bypass Grafting2019 · 37 citations
  3. 3Safe time limits of aortic cross-clamping and cardiopulmonary bypass in adult cardiac surgery2009 · 205 citations
  4. 4Breathing exercises for asthma2014 · 42 citations
  5. 5World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions2019 · 1,210 citations