Key result
Combined deep breathing, coughing, and incentive spirometry linked to fewer pulmonary complications post-cardiac surgery.
Why the study?
Patients post-cardiac surgeries develop restrictive pulmonary impairment postoperatively, and different respiratory modalities are used to reduce pulmonary complications.
Does a combination of deep breathing, coughing exercises, and incentive spirometry reduce post-operative pulmonary complications in patients post-cardiac surgeries?
Observational (n=150)
No
Does a combination of deep breathing, coughing exercises, and incentive spirometry reduce post-operative pulmonary complications in patients post-cardiac surgeries?
Combining deep breathing, coughing exercises, and incentive spirometry significantly reduces post-operative pulmonary complications in patients undergoing cardiac surgery compared to using either modality alone.
Supports respiratory modalities post-cardiac surgery; leaves open optimal choice pending randomized trials.
Background: Patients post-cardiac surgeries are developed restrictive pulmonary impairment postoperatively. Different respiratory modalities are used to reduce pulmonary complications. Aim: to compare between patients using different respiratory modalities post-cardiac surgeries regarding pulmonary complications rate. Design: Descriptive comparative research design. Subject: 150 patients post-cardiac surgeries, divided into three groups (A, B & C), 50 for each group. Group (A) practiced deep breathing and coughing exercises, Group (B) used incentive spirometer and the group (C) used all previous respiratory modalities. Setting: This study was conducted at cardiovascular hospital affiliated to Ain Shams University. Tools: Patients' demographic & clinical data form and postoperative pulmonary complications assessment sheet. Results: The studied patients post-cardiac surgeries in group (C) who practiced different respiratory modalities had lower post-operative pulmonary complications rate than the patients in other groups (A & B) with statistical significant difference ? < 0.01. Conclusion: Using of different respiratory modalities had significant positive effective on reducing post-operative pulmonary complication rate among patients post-cardiac surgeries. Recommendation: the importance of using different respiratory modalities for all patients’ post-cardiac surgeries in other setting.
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Askar et al. (2022) conducted an observational in Post-cardiac surgery (n=150). Combination of deep breathing, coughing exercises, and incentive spirometry vs. Deep breathing and coughing exercises alone, or incentive spirometer alone was evaluated on Post-operative pulmonary complications rate (p=< 0.01). A combination of deep breathing, coughing exercises, and incentive spirometry post-cardiac surgery was associated with a lower rate of pulmonary complications compared to either modality alone (P<0.01).
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