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IRCT20191028045267N1 IRCT 2020-03-12 Islamic Azad University "Investigating the effect of incentive spirometry on hemodynamic parameters of patients undergoing coronary artery bypass grafting surgery""The effect of deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass grafting surgery Comparing the effect of incentive spirometry and deep breathing exercises on hemodynamic parameters of patients undergoing coronary artery bypass grafting surgery 2020-01-14 anticipated 40 Complete https://irct.ir/trial/43365 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients will be divided into two groups of breathing exercises (n = 20) and incentive spirometry (n = 20) via permuted-block randomization. N/A Patients Candidate for Coronary Artery Bypass Grafting. Intervention 1: Control group: incentive spirometry (One day before surgery, patients in the incentive spirometry group were trained on how to use incentive spirometry to ensure that the researcher performed them correctly. Applying a spiral tube to the mouth, he/she inhaled inside the device in a sitting or semi-sitting posture, holding his/her breath for three seconds, and slowly exhaled by removing the device. Patients were asked that each time they increased breathing, they gradually took deeper breaths. This exercise was repeated for 10 deep breaths, every two hours at waking time. These interventions began one hour after the endotracheal tube was removed by the researcher’s supervision or her colleague’s and continued for up to three days after surgery. Hemodynamic parameters were measured and recorded on the first, second, and third days postoperatively. Intervention 2: Breathing exercises (One day before surgery, patients in the breathing exercises group were trained on how to perform deep scheduled breathing exercises so that the researcher ensures it is performed accurately. Scheduled deep breathing exercises were trained such that a patient is in a sitting or semi-sitting posture, performing slow, deep breathing through the nose, while simultaneously placing his/her hands on the chest to relieve pain and breathing more easily, and after inhalation, holds his/her breath for three seconds. Then he/she exhales through the mouth while the lips and the abdominal muscles are squeezed. He/she must repeat this exercise for a ten times every two hours at waking time. These interventions began one hour after the endotracheal tube was removed by a researcher or her colleague and continued for up to three days after surgery. Hemodynamic parameters were measured and recorded on the first, second, and third days postoperatively. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Fateme Zerang
No. 18,Yas Ave, Qafari Ave
Birjand Iran (Islamic Republic of) 9719866838 +98 56 3234 1503 fateme.zerang2018@gmail.com Islamic Azad University scientific Fateme Zerang
No. 18, Yas Ave, Qafari Ave
Birjand Iran (Islamic Republic of) 9719866838 +98 56 3234 1503 fateme.zerang2018@gmail.com Islamic Azad University Iran (Islamic Republic of) No suffering of cognitive neuromuscular disorders Non-emergency surgery Ability to perform breathing exercises and to use incentive spirometry Willingness to participate in the study no limit no limit Both Re-surgery due to possible complications Cognitive and neurological complications after surgery Severe hemodynamic disorders (e.g., severe hypo- and hypertension, shock) Severe lung disease (such as chronic obstructive pulmonary disease) Kidney dysfunction Prevention Prevention Control group: incentive spirometry (One day before surgery, patients in the incentive spirometry group were trained on how to use incentive spirometry to ensure that the researcher performed them correctly. Applying a spiral tube to the mouth, he/she inhaled inside the device in a sitting or semi-sitting posture, holding his/her breath for three seconds, and slowly exhaled by removing the device. Patients were asked that each time they increased breathing, they gradually took deeper breaths. This exercise was repeated for 10 deep breaths, every two hours at waking time. These interventions began one hour after the endotracheal tube was removed by the researcher’s supervision or her colleague’s and continued for up to three days after surgery. Hemodynamic parameters were measured and recorded on the first, second, and third days postoperatively. Breathing exercises (One day before surgery, patients in the breathing exercises group were trained on how to perform deep scheduled breathing exercises so that the researcher ensures it is performed accurately. Scheduled deep breathing exercises were trained such that a patient is in a sitting or semi-sitting posture, performing slow, deep breathing through the nose, while simultaneously placing his/her hands on the chest to relieve pain and breathing more easily, and after inhalation, holds his/her breath for three seconds. Then he/she exhales through the mouth while the lips and the abdominal muscles are squeezed. He/she must repeat this exercise for a ten times every two hours at waking time. These interventions began one hour after the endotracheal tube was removed by a researcher or her colleague and continued for up to three days after surgery. Hemodynamic parameters were measured and recorded on the first, second, and third days postoperatively. Arterial Oxygen Saturation in Two Groups (Incentive Spirometry and Respiratory Exercise). Timepoint: before surgery, before induction of anesthesia and on the first, second, and third days after surgery,. Method of measurement: A PC-66b pulse oximeter, made in China, was performed. Respiratory rate in two groups (incentive spirometry and breathing exercises). Timepoint: before surgery, before induction of anesthesia and on the first, second, and third days after surgery,. Method of measurement: Observing chest movements in a minute and counting it. Systolic and diastolic blood pressure in two groups (incentive spirometry and breathing exercises). Timepoint: Before surgery, before induction of anesthesia, and on the first, second, and third days after surgery. Method of measurement: As the instructions show, a mercury barometer with an appropriate armband size, while a patient is sitting on a comfortable chair with his/her hand on his/her heart, is measured twice in a 10-15 minute interval and the mean scores is recorded as an his/her blood pressure. Heart rate in two groups (incentive spirometry and breathing exercises). Timepoint: Before surgery, before induction of anesthesia, and on the first, second, and third days after surgery. Method of measurement: A PC-66b pulse oximeter, made in China, was performed. Islamic Azad University Approved 2020-01-14 Ethics Committee of the Islamic Azad University, Yazd Branch Shohaday-e-Gomnam Blvd., Safaeieh D.C., Yazd City, Yazd Province Yazd Yazd Iran (Islamic Republic of)