PRE-OPERATIVE INCENTIVE SPIROMETRY

EFFECTIVENESS TO IMPROVE POST-OPERATIVE OXYGENATION IN PATIENTS UNDERGOING CABG SURGERY

Authors

  • Aatir Fayyaz Children Hospital and Institute of Child Health, Multan.
  • Aamir Furqan Multan Institute of Kidney Diseases, Multan.
  • Ali Ammar
  • Rana Altaf Ahmad Ch. Pervaiz Ellahi Institute of Cardiology, Multan
  • Suhail Ahmad Ch. Pervaiz Ellahi Institute of Cardiology, Multan

DOI:

https://doi.org/10.29309/TPMJ/2016.23.11.1764

Keywords:

Incentive Spirometry, CABG, PO2

Abstract

Introduction: Coronary artery bypass surgery is associated with post-operative
complications like, atelactasis, pneumonia, plural effusion, pulmonary edema which effect on
post operative oxygenation of patient resulting in delayed recovery and prolong hospital stay.
Materials and method: A total of 170 patients included in the study. Study Design: Randomized
control trial. Setting: Department of Cardiac Surgery, Chaudary Pervaiz Elahi Institute of
Cardiology Multan. Period: January 2016 to June 2016. Objective: To Compare postoperative
oxygenation outcomes in patients undergoing CABG with and without pre-operative spirometry.
Results: Oxygenation variables pre-operative mean PO2 and SD in C group was 93.27 ± 5.04
and in I group 97.29 ± 2.31. Similarly pre-operative PCO2 in C group was 41.73 ± 3.22 and in I
group was 38.78 ± 2.99. Mean A-a gradient and SD in C group was 7.42 ± 1.70 and in I group
4.56 ± 1.11. At the time of shifting from theater mean PO2 in C group was 91.22 ± 4.64 and
in I group was 98.20 ± 2.00, similarly mean PCO2 and SD in C group was 43.18 ± 3.47 and
in I group 39.65 ± 1.15. Mean A-a gradient and SD in C group was 8.02 ± 1.30 and in I group
3.87 ± 0.88. After four hours mean PO2 and SD in C group was 92.00 ± 5.05 and in I group
99.04 ± 1.15. Mean PCO2 after four hours in C group was 42.34 ± 4.08 and in I group 37.29 ±
2.93. As concerned to A-a gradient mean and SD was 7.12 ± 1.70 and in I group 5.84 ± 1.92.
Conclusion: Preoperative incentive spirometry have improved postoperative oxygenation and
reduce the incidence of postoperative complications following CABG.

Author Biographies

Aatir Fayyaz, Children Hospital and Institute of Child Health, Multan.

Assistant Professor of Anaesthesia

Aamir Furqan, Multan Institute of Kidney Diseases, Multan.

Assistant Professor of Anaesthesia

Ali Ammar

Assistant Professor of Anaesthesia
Nishtar Medical College, Multan.

Rana Altaf Ahmad, Ch. Pervaiz Ellahi Institute of Cardiology, Multan

Professor of Anaesthesia

Suhail Ahmad, Ch. Pervaiz Ellahi Institute of Cardiology, Multan

Associate Professor of Anaesthesia

Downloads

Published

2016-11-10