“Efficacy Of spirometric Lung Exercise On Patients Of Chronic Obstructive Pulmonary Diseases Posted For Off-Pump Coronary Artery Bypass Grafting Surgery – Acomparative Study.”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Aims& Objective - To find out efficacy of preoperative incentive spirometry on patients of ischaemic heart disease with chronic obstructive pulmonary diseases posted for off pump coronary artery bypass grafting surgery. Materials & Methods -Total 120 COPD patients randomly allocated in three groups. Each groups again divided on the basis of FEV1 % case(n=20; A1,B1,C1) and control(n=20 ; A2,B2,C2) .All the cases received pre-operative incentivespirometry and under went GA with similar agents . Postoperative changes in inspiratory capacity, extubationtimenoted and analysed statistically. Results/Discussion- There were no significant differences among study groups in terms of age, weight & height .Patients in A1 group had better post operative inspiratory capacity(IC)( 6th -1240±367.64 vs 875±202.29;24th - 1465±299.61 vs 980±198.94; 48th -1660±328.31 vs 1305±372.01) & a relatively significant rapid regain of lung function to pre-op value compared to control group (A2). Patients in B1 group started showing improved IC(24th -1355±341.01 vs 1039.5±308.13;48th -1625±352.25 vs 1075±326.26{p<0.0001}) from pre op onwards till 48 hrs post op, excepting 6th hour post op value, compared to B2.Group-C1 showed inconsistent & marginally beneficial compared to C2. Pre op spirometry exercises showed positive impact inchanges SpO2 & PaO2 in A1 & B1. Mean time to extubation was significantly less A1(10.65±2.15 vs 15.47±1.98), B1(11.08±1.57 vs 15.65±2.32 )C1(12.07±2.66 vs 14.27±2.16 ) compared to control arm. Conclusion-Spirometric lung exercise significantly improves post operative lung function in FEV1>75% and FEV1 between 75-50% but not effective significantly patients with FEV1<50% .Patients with lung exercise has found positive impact in SpO2 & PaO2 in A1 & B1. Lesser mean time toextubation found in COPD patients posted for off pump CABG.
Authors and Affiliations
Dr. Saikat Majumdar, Prof. Sampa Dutta Gupta, Dr. Soumyadip Pal, Dr. Kankhan Sarma, Dr. Partha Sarthi Das
Keywords
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- EP ID EP574491
- DOI 10.9790/0853-1804121924.
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