Different Respiratory Modalities among Patients undergoing Cardiac Surgeries regarding Post-Operative Pulmonary Complications Rate: Comparative Study

Abstract

Background: Patients post-cardiac surgeries are developed restrictive pulmonary impairment postoperatively. Different respiratory modalities are used to reduce pulmonary complications. Aim: to compare between patients using different respiratory modalities post-cardiac surgeries regarding pulmonary complications rate. Design: Descriptive comparative research design. Subject: 150 patients post-cardiac surgeries, divided into three groups (A, B & C), 50 for each group. Group (A) practiced deep breathing and coughing exercises, Group (B) used incentive spirometer and the group (C) used all previous respiratory modalities. Setting: This study was conducted at cardiovascular hospital affiliated to Ain Shams University. Tools: Patients' demographic & clinical data form and postoperative pulmonary complications assessment sheet. Results: The studied patients post-cardiac surgeries in group (C) who practiced different respiratory modalities had lower post-operative pulmonary complications rate than the patients in other groups (A & B) with statistical significant difference ? < 0.01. Conclusion: Using of different respiratory modalities had significant positive effective on reducing post-operative pulmonary complication rate among patients post-cardiac surgeries. Recommendation: the importance of using different respiratory modalities for all patients’ post-cardiac surgeries in other setting.