Abstract
Introduction: Following thoracic and abdominal surgery, all patients experience decrease in pulmonary volumes and atelectasis. Different methods are suggested for improvement of pulmonary volumes and blood gas parameters in these patients. In this study we examine the effects of spirmetry on pulmonary volumes and blood gases parameters (ABG) in coronary artery bypass patients.
Materials and Methods: This research is a clinical trial (self control) study. 110 consecutive male patients who candidated for coronary artery bypass surgery enrolled for study from 2000-2001. Data were collected through a questionnaire. Blood gases parameters and spirometry volumes were measured in 3 phases before, first day of operation and after using incentive spirometry. Data was analyzed by descriptive and referential statistics.
Results: In this study the mean of age was 52±8 years old. LVEF was 50±7% and mean number of grafts were 2.4±0.7. The duration of mechanical ventilation was 7±45 hours in intensive care unit. Comparison of ABGs before anesthesia and in the first day of surgery showed significant decrease in systemic O2 saturation and arterial Po2 and increase in arterial Pco2 (P<0.001). Comparison of above parameters between the second and third phases showed no significant changes. Spirometry parameters showed decrease of FEV1 and FVC after surgery (P<0.0001), but in comparison with pulmonary volumes after surgery by using incentive spirometery, no significant changes were occurred.
Conclusion: Using incentive spirometery in the first day of operation did not show significant improvement in pulmonary volumes and blood gases parameters.
Keywords
Incentive Spirometry Coronary Artery Bypass Arterial Blood Gass Pulmonary Volumes
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© 2006, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.