Pre-Operative Incentive Spirometry; Effectiveness to Improve Post-Operative Oxygenation in Patients Undergoing Cabg Surgery

Fayyaz, Aatir; Furqan, Aamir; Ali, Ammar; Ahmad, Rana Altaf; Ahmad, Suhail

doi:10.17957/tpmj/16.3579

Cited by 6 publications

(18 citation statements)

References 19 publications

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“…The current results showed a significant improvement in Pao2, Sao2, and SPO2 in the IS Group compared to the Control Group. These results are consistent with Fayyaz et al [ 28 ], where preoperative spirometry had improved postoperative oxygenation in the IS group to 97.29 while the control group was 93.27. These results are in line with Yazdemik et al [ 29 ], who concluded that incentive spirometry caused a remarkable improvement of Pao2, Sao2, and SPO2.…”

Section: Discussionsupporting

confidence: 92%

“…Preoperative education gives health-related information for patients, which prepares them for surgery and helps to decrease the development of PPCs [ 27 ]. In numerous studies, it is suggested that postoperative incentive spirometry is practiced to decrease PPCs and decrease the length of stay (LOS), but the success of postoperative incentive spirometry is dependent not only on the postoperative, but also the preoperative period, which has been shown to improve oxygenation, decrease the incidence of PPCs and to decrease hospital LOS [ 28 , 29 ]. and agreed with them Moradyan et al [ 30 ] who revealed that receiving planned breathing exercises, including deep-breathing exercises, incentive spirometry and directed cough manoeuvres have better oxygenation after coronary artery bypass surgery.…”

Section: Introductionmentioning

confidence: 99%

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Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial

Sweity

Alkaissi

Othman

et al. 2021

J Cardiothorac Surg

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Background Postoperative pulmonary complications (PPCs) often occur after cardiac operations and are a leading cause of morbidity, inhibit oxygenation, and increase hospital length of stay and mortality. Although clinical evidence for PPCs prevention is often unclear and crucial, measures occur to reduce PPCs. One device usually used for this reason is incentive spirometry (IS). The aim of the study is to evaluate the effect of preoperative incentive spirometry to prevent postoperative pulmonary complications, improve postoperative oxygenation, and decrease hospital stay following coronary artery bypass graft (CABG) surgery patients. Methods This was a clinical randomized prospective study. A total of 80 patients were selected as candidates for CABG at An-Najah National University Hospital, Nablus-Palestine. Patients had been randomly assigned into two groups: incentive spirometry group (IS), SI performed before surgery (study group) and control group, preoperative spirometry was not performed. The 40 patients in each group received the same protocol of anesthesia and ventilation in the operating room. Result The study findings showed a significant difference between the IS and control groups in the incidence of postoperative atelectasis. There were 8 patients (20.0%) in IS group and 17 patients (42.5%) in the control group (p = 0.03). Mechanical ventilation duration was significantly less in IS group. The median was four hours versus six hours in the control group (p < 0.001). Hospital length of stay was significantly less in IS group, and the median was six days versus seven days in the control group (p < 0.001). The median of the amount of arterial blood oxygen and oxygen saturation was significantly improved in the IS group (p < 0.005). Conclusion Preoperative incentive spirometry for two days along with the exercise of deep breathing, encouraged coughing, and early ambulation following CABG are in connection with prevention and decreased incidence of atelectasis, hospital stay, mechanical ventilation duration and improved postoperative oxygenation with better pain control. A difference that can be considered both significant and clinically relevant. Trial registration Thai Clinical Trials Registry: TCTR20201020005. Registered 17 October 2020—retrospectively registered.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial

Sweity

Alkaissi

Othman

et al. 2021

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…The current results showed a signi cant improvement in Pao2, Sao2, and SPO2 in the IS Group compared to the Control Group. These results are consistent with Fayyaz et al [27] , where preoperative spirometry had improved postoperative oxygenation in the IS group to 97.29 while the control group was 93. 27.…”

Section: The Effect Of Preoperative Incentive Spirometry On Oxygenationsupporting

confidence: 92%

“…In addition, Shaban et al [10] reported the same results when they declared that the hospital length of stay decreased for the IS group compared to the control group. On the other hand, Fayyaz et al [27]presented results that contradict the current results. They revealed that there were no differences between the groups in length of hospital stay.…”

Section: The Effect Of Preoperative Incentive Spirometry On Hospital Length Of Staycontrasting

confidence: 90%

“…Preoperative education gives health-related information for patients, which prepares them for surgery and helps to decrease the development of PPCs [26]. In numerous studies it is suggested that postoperative incentive spirometry is practiced to decrease PPCs and decrease length of stay (LOS), but the success of postoperative incentive spirometry is dependent not only on the postoperative, but also the preoperative period, which has been shown to improve oxygenation, decrease the incidence of PPCs and to decrease hospital LOS [27][28][29]. Another study has shown that the rate of pneumonia and atelectasis reduced with breathing exercise and IS in obese patients prior to CABG surgery [30].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative Incentive Spirometry for Preventing Postoperative Pulmonary Complications in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Prospective, Randomized Controlled Trial

Sweity

Alkaissi

Othman

et al. 2021

Preprint

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Background: Postoperative pulmonary complications (PPCs) often occur after cardiac operations, and are a leading cause of morbidity, inhibit oxygenation, and increase hospital length of stay, and mortality. Although clinical evidence for PPCs prevention is often unclear and crucial, measures take place to reduce PPCs. One device usually used for this reason is the incentive spirometry (IS). The Aim of the study is to evaluate the effect of preoperative incentive spirometry to prevent postoperative pulmonary complications, improve postoperative oxygenation, and decrease hospital stay following coronary artery bypass graft (CABG) surgery patients. Methods: This was a clinical randomized prospective study. A total of 80 patients were selected as candidates for CABG at An-Najah National University Hospital, Nablus-Palestine. Patients had been randomly assigned into two groups: incentive spirometry group (IS), SI performed before surgery (study group) and control group, preoperative spirometry was not performed. The 40 patients in each group received the same protocol of anesthesia and ventilation in the operating room. Result: The study findings showed that there was a significant difference between the IS group and control group in the incidence of postoperative atelectasis, there were 8 patients (20.0%) in IS group and 17 patients (42.5 %) in the control group (p= 0.03). Mechanical ventilation duration was significantly less in group IS group, the median was four hours versus six hours in the control group (p < 0.001). Hospital length of stay was significantly less in group IS group, the median was six days versus seven days in the control group (p < 0.001). Median of the amount of arterial blood oxygen and oxygen saturation was significantly effective improvement in IS group with (p < 0.005). Conclusion: Preoperative incentive spirometry for 2 days along with exercises of deep breathing, encouraged coughing and early ambulation following CABG are in connection with prevention and decrease incidence of atelectasis, hospital stay, mechanical ventilation duration and improved postoperative oxygenation with better pain control. A difference that can be considered both significant and clinically relevant.Trial registration Thai Clinical Trials Registry: TCTR20201020005. Registered 17 October 2020 - Retrospectively registered.

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Pre and postoperative nurse-guided incentive spirometry versus physiotherapist-guided pre and postoperative breathing exercises in patients undergoing cardiac surgery: An evaluation of postoperative complications and length of hospital stay

Zhang²,

Liu³

et al. 2022

Medicine

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Atelectasis is the most occurring postoperative complication after cardiac surgeries. Postoperative respiratory exercises and incentive spirometry led to decrease in postoperative complications, especially atelectasis and hospital stay. The objectives of the study were to evaluate postoperative complications and length of hospital stay of patients who received pre and postoperative nurse-guided incentive spirometry against those of patients who received pre and postoperative breathing exercises by the physiotherapist in patients who underwent cardiac surgery. Data of patients who received 2 days preoperative and 2 days postoperative nurse-guided incentive spirometry with a spirometer (PPN cohort, n = 102) or received 2 days preoperative and 2 days postoperative breathing exercises by physiotherapist without spirometer (PPP cohort, n = 105), or 2 days postoperative physiotherapist-guided breathing exercises only without spirometer (PPB cohort, n = 114) were collected and analyzed. The acute or chronic collapse of part or entire lung was defined as atelectasis. The length of stay in the hospital was from the day of admission to discharge. Patients of the PPN cohort had fewer numbers of incidences of atelectasis, dyspnea, and sweating >1 day after operations compared to those of the PPB and the PPP cohorts ( P < .05 for all). The partial pressure of oxygen and oxygen saturation of arterial blood ≥6 hours after operations reported higher, the duration of ventilation was shorter, and numbers of re-intubation processes reported fewer for patients of the PPN cohort than those of the PPB and the PPP cohorts ( P < .05 for all). The hospital length of the stay of patients in the PPN cohort was fewer than those of the PPB and the PPP ( P < .0001 for both) cohorts. Pre and postoperative nurse-guided incentive spirometry with a spirometer following cardiac surgeries would have better postoperative pulmonary outcomes and fewer hospital stays than those of postoperative-only or pre and postoperative physiotherapist-guided breathing exercises (level of evidence: IV; technical efficacy stage: 5).

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Pre-Operative Incentive Spirometry; Effectiveness to Improve Post-Operative Oxygenation in Patients Undergoing Cabg Surgery

Cited by 6 publications

References 19 publications

Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial

Preoperative incentive spirometry for preventing postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective, randomized controlled trial

Preoperative Incentive Spirometry for Preventing Postoperative Pulmonary Complications in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Prospective, Randomized Controlled Trial

Pre and postoperative nurse-guided incentive spirometry versus physiotherapist-guided pre and postoperative breathing exercises in patients undergoing cardiac surgery: An evaluation of postoperative complications and length of hospital stay

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