Submitted: 30 Nov 2014
ePublished: 25 Apr 2016
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J Cardiovasc Thorac Res. 2015;7(1): 13-17.
doi: 10.15171/jcvtr.2015.03
PMID: 25859310
PMCID: PMC4378669
  Abstract View: 1436
  PDF Download: 565

Original Article

Effect of Respiratory Rehabilitation before Open Cardiac Surgery on Respiratory Function: A Randomized Clinical Trial

Seyed Kazem Shakuri, Yaghoub Salekzamani, Ali Taghizadieh, Hamed Sabbagh-Jadid*, Jamal Soleymani, Leyla Sahebi, Roya Sahebi
Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran sahebimina@gmail.com


Introduction: Prevention of pulmonary complications after coronary artery bypass graft is attended as a very important issue. The aim of this study was to evaluate the role of pulmonary rehabilitation before surgery for reducing the risk of pulmonary complications after surgery. Methods: In a randomized clinical trial, 60 patients undergoing heart surgery were randomly divided into two groups A and B. Chest physiotherapy was performed before and after surgery on group A patients however it was done on group B’s, only after surgery. Effects of preoperative pulmonary rehabilitation were compared between two groups, using spirometry and arterial blood gas (ABG). Results: Thirty nine males (65%) and 21 females (35%) with mean age of 8.10 ± 9.56 were analyzed.The mean differences were statistically significant for predicted forced vital capacity (FVC) (CI95%:1.3 to 8.7) and Predicted Peak Flow indices (PEF) (CI 95%: 1.9 to 9.4) of spirometry indicator,PCO2 index (of ABG parameter) (CI 95%: 1.4 to 8.9) and mean oxygen saturation (mean Spo2) (CI 95%: 0.6 to 1.7) of ABG index in two groups. Conclusion: The performance of pulmonary rehabilitation program before surgery is recommended, as it may result in the reduction of complications of heart surgery.
Keywords: Coronary Artery Bypass, Respiratory Rehabilitation, Arterial Blood Gas, Spirometry
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