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November 10, 2016The Professional Medical JournalOpen Access

Preoperative incentive spirometry improves postoperative oxygenation at four hours following CABG.

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Why the study?

Does preoperative incentive spirometry improve postoperative oxygenation in patients undergoing CABG surgery?

Population

170 patients undergoing coronary artery bypass graft surgery, mean age ~39, 45.3% male, based in Multan…

Comparison

Preoperative incentive spirometry vs No preoperative incentive spirometry

Design

RCT, Randomly assigned into two equal groups using binary number generator…

Follow-up

4 hours postoperatively

Key result

Preoperative incentive spirometry improved postoperative oxygenation following CABG surgery, achieving a mean PO2 of 99.04 compared to 92.00 in the control group at four hours post-operation.

Authors

AFAatir FayyazAFAamir FurqanAAAli Ammar

Discussion

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Overview

Supports preoperative incentive spirometry to optimize early oxygenation after CABG; extends evidence for simple respiratory interventions in cardiac surgery.

Study Design

Type

RCT (n=170)

Randomization

binary number generator system

Multicenter

No

Structured PICO

Does preoperative incentive spirometry improve postoperative oxygenation in patients undergoing CABG surgery?

P
Population
170 patients (54.7% female, mean age ~39 years) undergoing coronary artery bypass graft surgery, evaluated for the effects of pre-operative incentive spirometry on post-operative oxygenation.
I
Intervention
Preoperative incentive spirometry
C
Comparator
No preoperative incentive spirometry (control group)
O
Outcome
Postoperative oxygenation outcomes (PO2, PCO2, and A-a gradient) at the time of shifting from theater and after four hourssurrogate

Main Result

Absolute Event Rate: 99.04% vs 92%

Preoperative incentive spirometry improves early postoperative oxygenation parameters (PO2, PCO2, A-a gradient) in patients undergoing CABG surgery.

Limitations

  • No inferential statistics (p-values) were reported to determine the statistical significance of the differences.
  • No difference was observed in hospital or ICU stay between the groups.
  • Single-center study design.

Cite This Study

Fayyaz et al. (2016) conducted an RCT in Coronary Artery Bypass Graft (CABG) surgery (n=170). Pre-operative incentive spirometry vs. No pre-operative incentive spirometry was evaluated on Postoperative oxygenation (Mean PO2 at four hours post-surgery). Preoperative incentive spirometry improved postoperative oxygenation following CABG surgery, achieving a mean PO2 of 99.04 compared to 92.00 in the control group at four hours post-operation.

synapsesocial.com/papers/6aa92116f89f50ab9e62df00https://doi.org/10.29309/tpmj/2016.23.11.1764
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Also Consider

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

  1. 1PRE-OPERATIVE INCENTIVE SPIROMETRY; EFFECTIVENESS TO IMPROVE POST-OPERATIVE OXYGENATION IN PATIENTS UNDERGOING CABG SURGERY2016 · 6 citations
  2. 2Effect of incentive spirometry on oxygenation and postoperative pulmonary complications after open heart surgery2023
  3. 3The Effect of Method of Administering Incentive Spirometry on Postoperative Pulmonary Complications in Coronary Artery Bypass Patients1988
  4. 4Effect of preoperative respiratory rehabilitation on post operative outcomes in coronary artery bypass graft patients: a randomized clinical trail2024
  5. 5Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial2022 · 2 citations