Continuous Positive Air Way Pressure in Cardiac Rehabilitation After CABG

Riphah International University

Status: Completed

Conditions: Post-cardiac Surgery

Treatments: Other: Control Group; Other: Continuous Positive Air Way Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05044559

REC/00593 Memoona Salal

Details and patient eligibility

About

Different studies reported that CPAP is effective to prevent respiratory complication in post CABG patient and have greater impact on walking time, ventilatory function and breathing pattern.

Full description

The walking time (6 minute walk test), effect on arterial blood gasses and long term effects of CPAP on cardiac activity, the previous studies focus only on the acute effects of CPAP along with specific exercises but did not tell about the long term effects. based on these finding this study is design to assess the effectiveness of CPAP in Post-op CABG patients regarding there early mobilization, walking time, ABGs and Ejection Fraction as there prognostic parameters in both phase-1 cardiac rehabilitation within hospital as well as in long-term prognosis, is of great interest.

Enrollment: 38 patients

Sex: Male

Ages: 35 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age between 35 to 60 years.
• With a clinical diagnosis of coronary artery disease, underwent elective CABG (Acute)

Exclusion criteria

• Low ejection friction (15%)
• Patient those who have any arrhythmias
• Unstable angina
• Patient having pace maker and implantable cardioverter defibrillator
• COPD and asthmatic patient
• Patient having BMI more then 40

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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38 participants in 2 patient groups

Continuous Positive Air Way Group

Experimental group

Description:

Day 1: Use of CPAP between 10 and 12 cmH2O according to tolerance for 20 minutes two time a day at first day of post surgery bed mobility chest physiotherapy ,active assistive ROM 5 repetitions of upper and lower limb, ACBT cycle. ABGS was analyses at first minute of exercise. and vital was record after exercise. Day 2: Active ROM exercise progress of 5 repetitions bed to chair mobility. same exercise progress with 5 repetition and 5 minute walk( day 3rd ).walking time was increase with 10 min at 4 day and at 5th day stair climbing the ABGS was record in ICU 3 days.

Treatment:

Other: Continuous Positive Air Way Group

Control Group

Active Comparator group

Description:

Day 1: Bed mobility chest physiotherapy, active assistive ROM 5 repetitions of upper and lower limb, ACBT cycle. ABGS was analyses at first minute of exercise and vital was record after exercise. Day 2: Active range of motion exercise progress with 5 repetitions bed to chair mobility. same exercise progress with 5 repetition and 5 minute walk( day 3rd ).walking time will increase with 10 min at 4 day and at 5th day stair climbing the ABGS was record in ICU 3 days.

Treatment:

Other: Control Group