Using Different Respiratory Modalities for Preventing Pulmonary Complications among Patients Post-cardiac Surgeries: A Quasi-experimental Study

Abstract

Background: Using different respiratory modalities prevents pulmonary complications. Aim: Evaluate effect of different respiratory modalities among patients undergoing cardiac surgeries on postoperative pulmonary complications rate. Methods: Selective assigned of 150 patients divided into three equal groups undergoing cardiac surgeries from a cardiovascular hospital affiliated with Ain Shams University. Group A practiced deep breathing and coughing exercise as a respiratory model, Group B utilized incentive spirometry as another modality, while group C applied all modalities. Patient's interviewing questionnaire, practical observational checklists, and postoperative pulmonary complications assessment form were the used tools. A training program was performed for groups. Results: 22%, 14%, and 10% from groups A, B, and C developed postoperative pulmonary complications with 27.2% death among complicated in group A. Moreover; a significant difference between complications means scores among the groups p < 0.01. Conclusion: The combination of different respiratory modalities significantly reduces pulmonary complications post-cardiac surgery.