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IRCT20240313061281N1 IRCT 2024-05-23 Shahid Rajaei Cardiovascular, Medical and Research Institute Investigating the effect of yoga breathing exercises on respiratory and hemodynamic indicators of patients after coronary artery bypass graft surgery Investigating the effect of yoga breathing exercises on respiratory and hemodynamic indicators of patients after coronary artery bypass graft surgery: a Randomized Clinical Trial 2024-05-28 anticipated 56 Complete https://irct.ir/trial/76927 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Prevention, Randomization description: Random block method with block size 4 is used for random allocation. The random list will be created by the web-based software and the results will be provided to the principal investigator in sealed envelopes. N/A Patients after coronary artery bypass graft surgery. Intervention 1: Intervention group: In addition to receiving the routine program, the intervention group will receive yoga breathing exercises that include three breaths: 1- Complete breathing, 2- Kapalabhati breathing, and 3-NadiShodhana breathing during four days. Cardiovascular indicators (systolic blood pressure, diastolic blood pressure, heart rate) (and respiratory) respiratory rate, PFM, percentage of oxygen saturation and the values obtained from the interpretation of arterial blood gases including PH, HCO3, PO2, PCO2, BE) before the intervention and 2 hours after the first and 2 hours after the second intervention in the ICU. In addition, two other times of intervention and only the measurement of the peak flowmeter will be done 2 hours after the intervention, after leaving the ICU and in the ward on the third and fourth days after the surgery. Intervention 2: Control group:they are subjected to a routine rehabilitation program after CABG surgery, which includes respiratory physiotherapy and incentive spirometry. The cardiovascular and respiratory indicators of the control group are also measured at the same time as the intervention group. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after de-identifying individuals. When: Access starts 6 months after results are published To whom: Data will be available to researchers working in academic and scientific institutions and people working in industry. Conditions: Performing all analyzes on the delivered data is allowed. Where to obtain: Email to 'MahnazMoradi 628@gmail.com' This email is owned by Mahnaz Moradi. How to obtain: The applicant should send request, which includes the reason and motive for accessing the documents and data files, to the mentioned email address. After reviewing the request, the documents will be sent within a few days. Comments:
public Mahnaz Moradi
No.45, Akbarzare AIIey, Golkhane St, Khane isfahan Ave
Isfahan Iran (Islamic Republic of) 8194957966 0098314204313 Mahnazmoradi628@gmail.com Shahid Rajaei Cardiovascular, Medical and Research Institute scientific Mahnaz Moradi
No.45, Akbarzare AIIey, Golkhane St, Khane isfahan Ave
Isfahan Iran (Islamic Republic of) 8194957966 +98 31 3420 4313 mahnazmoradi628@gmail.com Rajaie Cardiovascular Medical and Research Center Iran (Islamic Republic of) Extubated patients who undergo elective coronary artery bypass surgery and have not undergone emergency coronary artery bypass surgery Consent to participate in the study Patients with cardiac output fraction > 35% Patients in the age range of 30-70 years Non-dialysis patients Patients who are intubated for less than 24 hours. COPD patients who are not in stage 4 according to FEV1 before surgery (stage 4-very severe-FEV1 ≤30%). 30 years 70 years Both Unwillingness or withdrawal from the study at any time Patients who experience unstable hemodynamic conditions during exercise (heart rate above 100 or below 50, systolic pressure drop below 100, dizziness or restlessness, loss of consciousness and respiratory distress with a respiratory rate above 24) Patients who return to the operating room due to bleeding, tamponade and unstable conditions Patients who suffer from cardiac arrhythmia Prevention Prevention Intervention group: In addition to receiving the routine program, the intervention group will receive yoga breathing exercises that include three breaths: 1- Complete breathing, 2- Kapalabhati breathing, and 3-NadiShodhana breathing during four days. Cardiovascular indicators (systolic blood pressure, diastolic blood pressure, heart rate) (and respiratory) respiratory rate, PFM, percentage of oxygen saturation and the values obtained from the interpretation of arterial blood gases including PH, HCO3, PO2, PCO2, BE) before the intervention and 2 hours after the first and 2 hours after the second intervention in the ICU. In addition, two other times of intervention and only the measurement of the peak flowmeter will be done 2 hours after the intervention, after leaving the ICU and in the ward on the third and fourth days after the surgery. Control group:they are subjected to a routine rehabilitation program after CABG surgery, which includes respiratory physiotherapy and incentive spirometry. The cardiovascular and respiratory indicators of the control group are also measured at the same time as the intervention group. The amount of peak flowmeter. Timepoint: in four times, before the intervention and 2 hours after the intervention on the first to fourth days. Method of measurement: Peak flowmeter device. Respiratory rate per minute. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: Observation of the patient's chest. Arterial oxygen saturation percentage. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: Pulse Oximeter. Heart rate. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: Pulse Oximeter. Systolic and diastolic arterial blood pressure. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: Saadat brand monitor blood pressure gauge. Partial pressure of carbon dioxide. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: It is performed via arterial blood gas. Partial pressure of oxygen. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: It is performed via arterial blood gas. Base excess. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: It is performed via arterial blood gas. Bicarbonate. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: It is performed via arterial blood gas. Potential of hydrogen. Timepoint: before the intervention and two hours after training on the first and second days. Method of measurement: It is performed via arterial blood gas. Safety endpoints and complications. Timepoint: During the patient's hospitalization. Method of measurement: Observation of patient. Shahid Rajaei Cardiovascular, Medical and Research Institute Approved 2024-05-11 Research Ethics committee of Rajaie Cardiovascular, Medical and Research Institiue NO.1115119969, valiasr St., Hashemi Rafsanjani Hwy, Tehran Tehran Tehran Iran (Islamic Republic of)