Comparison between deep breathing exercises and incentive spirometry after CABG surgery.
OBJECTIVE
To compare the effects of deep breathing exercises (DBE) and the flow-oriented incentive spirometry (IS) in patients undergone coronary artery bypass grafting (CABG) through the following variables: forced vital capacity - FVC, forced expiratory volume in 1 second - FEV(1), maximal respiratory pressures and oxygen saturation.


METHODS
Thirty six patients in CABG postoperative period underwent thirty minutes of non-invasive ventilation during the first 24 hours after extubation and were randomly shared into two groups as following: DBE (n=18) and IS (n=18). The spirometric variables were assessed on the preoperative period and seventh postoperative day (POD). The respiratory muscle strength and oxygen saturation were assessed on the preoperative period, first, second and seventh POD.


RESULTS
The groups were considered homogeneous in relation to the demographic and surgical variables. It has been noted fall in the values of FVC and FEV(1) between the preoperative period and the seventh POD, but without significant differences between groups. The maximal respiratory pressures showed drop in the first POD but with and partial recovery until the seventh POD, also without significant differences between groups. The oxygen saturation was the only variable that was completely recovered on the seventh POD, also without significant differences between groups.


CONCLUSIONS
There were not observed significant differences in maximal respiratory pressures, spirometric variables and oxygen saturation in patients undergone deep breathing exercises and flow-oriented incentive spirometry after coronary artery bypass grafting.
Renault
Julia Alencar
JA
Santa Casa de Misericórdia of BeloHorizonte - Belo Horizonte, MG, Brazil. jurenault@ig.com.br
Costa-Val
Ricardo
R
Rosseti
Márcia Braz
MB
Houri Neto
Miguel
M
D000704:Analysis of Variance; D001945:Breathing Exercises; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D005260:Female; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood*; D011446:Prospective Studies; D012132:Respiratory Muscles / Q000502:physiology*; D012138:Respiratory Therapy / Q000379:methods*; D013147:Spirometry; D013997:Time Factors; D014797:Vital Capacity / Q000502:physiology*
D010100:Oxygen