Oxygen Saturation Clinical Trial
Official title:
The Effects on Arterial Blood Gas, Venous Oxygen Saturation and Vital Findings of Incentive Spirometry Use With Inspiration and Expiration Techniques in Coronary Artery Bypass Surgery
Verified date | April 2022 |
Source | Cukurova University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Aims and objectives: The aims of this study is to determine the effect of incentive spirometry on arterial blood gas and venous oxygen saturation and vital signs, in addition to pulmonary rehabilitation care before and after coronary artery bypass graft surgery. The objectives; were to accelerate the healing process by reducing pulmonary complications. Background: Nurses, who carry much of the responsibility for the basic care of patients surgery play a highly important role. As a result of strong care, the recovery process of the patients will be accelerated, the hospitalization period will be shortened and morbidity and mortality will be prevented. Design and Methods: Included in this randomized controlled study were 32 patients who underwent coronary arterial bypass graft surgery (16 in experimental group; 16 in control group) in a university hospital. Incentive spirometry is applied in the study along with an identified inspiration technique and an expiration technique that has not been previously encountered in literature. The preoperative measured values of the patients were compared with the arterial blood gas and venous oxygen saturation values and vital signs on the first, second and third postoperative days. In this study, the CONSORT checklist was followed.
Status | Completed |
Enrollment | 32 |
Est. completion date | September 5, 2021 |
Est. primary completion date | February 25, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 88 Years |
Eligibility | Inclusion Criteria: - willing participants who could communicate - with a stable clinical condition - between 18 and 88 years old - with no hearing problems - with no previous psychiatric or mental illness - undergoing coronary artery bypass surgery for the first time (non-emergency surgery) Exclusion Criteria: - unstable clinical situation - declined to participate, - history of Chronic Obstructive Pulmonary Disease (COPD) or Chronic Kidney Failure (CKD) - those with post-operative cognitive and neurological complications and severe hemodynamic dysfunction - those requiring resternotomy or prolonged mechanical ventilation (more than 24 hours) - with complications (pneumonia, atelectasis , pleural effusion, etc.). |
Country | Name | City | State |
---|---|---|---|
Turkey | Cukurova University | Sariçam | Adana |
Lead Sponsor | Collaborator |
---|---|
Cukurova University |
Turkey,
Agostini P, Calvert R, Subramanian H, Naidu B. Is incentive spirometry effective following thoracic surgery? Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):297-300. Epub 2007 Nov 26. Review. — View Citation
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Boden I, Skinner EH, Browning L, Reeve J, Anderson L, Hill C, Robertson IK, Story D, Denehy L. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ. 2018 Jan 24;360:j5916. doi: 10.1136/bmj.j5916. Erratum in: BMJ. 2019 Apr 25;365:l1862. — View Citation
Carvalho CR, Paisani DM, Lunardi AC. Incentive spirometry in major surgeries: a systematic review. Rev Bras Fisioter. 2011 Sep-Oct;15(5):343-50. Epub 2011 Oct 14. Review. — View Citation
Eltorai AEM, Baird GL, Eltorai AS, Healey TT, Agarwal S, Ventetuolo CE, Martin TJ, Chen J, Kazemi L, Keable CA, Diaz E, Pangborn J, Fox J, Connors K, Sellke FW, Elias JA, Daniels AH. Effect of an Incentive Spirometer Patient Reminder After Coronary Artery Bypass Grafting: A Randomized Clinical Trial. JAMA Surg. 2019 Jul 1;154(7):579-588. doi: 10.1001/jamasurg.2019.0520. — View Citation
Eltorai AEM, Szabo AL, Antoci V Jr, Ventetuolo CE, Elias JA, Daniels AH, Hess DR. Clinical Effectiveness of Incentive Spirometry for the Prevention of Postoperative Pulmonary Complications. Respir Care. 2018 Mar;63(3):347-352. doi: 10.4187/respcare.05679. Epub 2017 Dec 26. Review. — View Citation
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from arterial blood gas parameters at 4 days | Arterial blood gas repeated measurements were made on Preop, Postop 1.day, Postop 2.day, Postop 3.day. Among the arterial blood gas criteria, PaCO2 (35_45mmHg), Pa02 (80-100mmHg), arterial oxygen saturation (SaO2) (95-97%) values were examined. These measurements were compared between the experimental group and the control group. Measurements were made at the end of the day. | Preop, Postop 1.day, Postop 2.day, Postop 3.day | |
Primary | Change from venous oxygen saturation parameters at 4 days | Venous oxygen saturation (Venous O2 /%90-100) repeated measurements were made on Preop, Postop 1.day, Postop 2.day, Postop 3.day. These measurements were compared between the experimental group and the control group. Measurements were made at the end of the day, during the resting time of the patients. | Preop, Postop 1.day, Postop 2.day, Postop 3.day | |
Primary | Vital signs- Change from systolic and diastolic blood pressure at 4 days (mmHg) | In this study, systolic and diastolic blood pressure values, which are vital signs, were measured repeatedly on Preop, Postop 1.day, Postop 2.day, Postop 3.day. Measurements were made at the end of the day, during the resting time of the patients. | Preop, Postop 1.day, Postop 2.day, Postop 3.day | |
Primary | Vital signs- Change from respiratory rate per minute at 4 days | In this study, respiratory rate per minute values, which are vital signs, were measured repeatedly on Preop, Postop 1.day, Postop 2.day, Postop 3.day. Measurements were made at the end of the day, during the resting time of the patients. | Preop, Postop 1.day, Postop 2.day, Postop 3.day | |
Primary | Vital signs- Change from heart rate per minute at 4 days | In this study, heart rate per minute values, which are vital signs, were measured repeatedly on Preop, Postop 1.day, Postop 2.day, Postop 3.day. Measurements were made at the end of the day, during the resting time of the patients. | Preop, Postop 1.day, Postop 2.day, Postop 3.day |
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