Forced expiratory technique in coronary artery bypass grafting individuals
Corresponding Author(s) : G.Pavani
dr.krish1987@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 3 (2020): 2020 Volume - 8 Issue-3
Abstract
The coronary artery disease is due to arterial wall damage, infiltration of macromolecules or platelet activation
leading to complete blockage of vessels which results in ischemic necrosis of tissue. Twenty subjects were taken
from the Physiotherapy Outpatient Department and were assessed pre-operatively, post-operatively for lung
volumes by spirometry. In experimental group, the pre and post treatment shows significant improvement in
pulmonary functions, peak expiratory flow rate, pain assessment scale whereas, in control group, the pre and postoperative
treatment shows. Significant improvement in pulmonary functions, peak expiratory flow rate and pain
assessment scale could be due to deep breathing exercises which is used to maintain sufficient lung volumes by
improving ventilation and relief of pain. The present study was undertaken to evaluate the effectiveness of forced
expiratory technique in improving pulmonary function, peak expiratory flow rate and pain scale in coronary artery
bypass grafting individuals.
Keywords
coronary artery disease
pulmonary functions
forced expiratory technique
VAS
peak expiratory flow rate
1.
G.Pavani. Forced expiratory technique in coronary artery bypass grafting individuals. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Sep. 25 [cited 2025 Nov. 14];8(3):634-9. Available from: https://ijamscr.com/ijamscr/article/view/908
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References
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Anderson, Catherine M.The effect of Incentive Spirometer on post operative pulmonary complication.
Physiotherapy research international 2001; vol 120;971-978.
[2]. Bartlett RH, Gazzaniga AB,Gerraghty TR.Respiratory maneuvers to prevent post operative pulmonary
complications.Journal of American medical association 1973 ;224 ;1017-1021.
[3]. Christine Bradley, Jean M Crowe. The effectiveness of Incentive Spirometry with physical therapy for high
risk patients after CABG.Physical therapy Journal Mar1997; vol 77;260-268.
[4]. Craig DB. Post operatively recovery of pulmonary function. Review article anesthesia and analgesia 1981;
60(1);46-52.
[5]. Dan Schuller MD and Lee E. Morrow, MD. pulmonary complications after coronary revascularization.
Current opinion in cardiology,2005;15;309-315.
[6]. Dilworth JP, White RJ.post operative chest infection after upper abdominal surgery; an important problem
for smoker. Respiratory Medicine1992;86;205-210.
[7]. Elliot TR, Dingley LA. Massive collapse of the lungs following abdominal operations. American journal of
surgery 1994;1305-1309.
[8]. Erik H.J. Hulzebos, Paul J.M. Helders, Nine J. Favie et al.pre operative intensive inspiratory muscle training
to prevent post operative pulmonary complications in high risk patients undergoing CABG surgery. JAMA
journal oct 2006; vol 296;1851-1857.
[9]. Hunt J, Mycykt, Thomson D, et al. Respiratory outcomes with early extubation after CABG.Journal of
cardiothoracic vascular anesthesia 1997;11;4
[10]. Konrad, Hewlett AM, Hulands GH. Functional residual capacity during anesthesia spontaneous respirations.
British journal of anesthesiology 1995;46;486-494.
[11]. Pryor J. Physiotherapy for respiratory and cardiac problem. London, Churchill Livingstone 1998;444-446.
[12]. Stiller k, Montarelloj,Wallace M,Daff M,grant Jenkins Efficacy of breathing and coughing exercises in the
prevention of pulmonary complications after coronary artery surgery; Chest 1994;105;741-747.
[13]. Torrington and Henderson, Rochelle Wynne, Marie Botti. Post-operative pulmonary dysfunction in adults
after cardiac surgery with cardiopulmonary bypass, Clinical care medicine 1988;27;1454-1460.
[14]. Weissmann, MD. Pulmonary function after cardiac &thoracic surgery. Journal of Anesthesiology and critical
care medicine.1999;88;1272-9.
[15]. Zin WA, calderia MPR, Cardoso WV et al. Expiratory mechanisms before and after uncomplicated heart
surgery. Chest 1989;95;21-8.
References
Anderson, Catherine M.The effect of Incentive Spirometer on post operative pulmonary complication.
Physiotherapy research international 2001; vol 120;971-978.
[2]. Bartlett RH, Gazzaniga AB,Gerraghty TR.Respiratory maneuvers to prevent post operative pulmonary
complications.Journal of American medical association 1973 ;224 ;1017-1021.
[3]. Christine Bradley, Jean M Crowe. The effectiveness of Incentive Spirometry with physical therapy for high
risk patients after CABG.Physical therapy Journal Mar1997; vol 77;260-268.
[4]. Craig DB. Post operatively recovery of pulmonary function. Review article anesthesia and analgesia 1981;
60(1);46-52.
[5]. Dan Schuller MD and Lee E. Morrow, MD. pulmonary complications after coronary revascularization.
Current opinion in cardiology,2005;15;309-315.
[6]. Dilworth JP, White RJ.post operative chest infection after upper abdominal surgery; an important problem
for smoker. Respiratory Medicine1992;86;205-210.
[7]. Elliot TR, Dingley LA. Massive collapse of the lungs following abdominal operations. American journal of
surgery 1994;1305-1309.
[8]. Erik H.J. Hulzebos, Paul J.M. Helders, Nine J. Favie et al.pre operative intensive inspiratory muscle training
to prevent post operative pulmonary complications in high risk patients undergoing CABG surgery. JAMA
journal oct 2006; vol 296;1851-1857.
[9]. Hunt J, Mycykt, Thomson D, et al. Respiratory outcomes with early extubation after CABG.Journal of
cardiothoracic vascular anesthesia 1997;11;4
[10]. Konrad, Hewlett AM, Hulands GH. Functional residual capacity during anesthesia spontaneous respirations.
British journal of anesthesiology 1995;46;486-494.
[11]. Pryor J. Physiotherapy for respiratory and cardiac problem. London, Churchill Livingstone 1998;444-446.
[12]. Stiller k, Montarelloj,Wallace M,Daff M,grant Jenkins Efficacy of breathing and coughing exercises in the
prevention of pulmonary complications after coronary artery surgery; Chest 1994;105;741-747.
[13]. Torrington and Henderson, Rochelle Wynne, Marie Botti. Post-operative pulmonary dysfunction in adults
after cardiac surgery with cardiopulmonary bypass, Clinical care medicine 1988;27;1454-1460.
[14]. Weissmann, MD. Pulmonary function after cardiac &thoracic surgery. Journal of Anesthesiology and critical
care medicine.1999;88;1272-9.
[15]. Zin WA, calderia MPR, Cardoso WV et al. Expiratory mechanisms before and after uncomplicated heart
surgery. Chest 1989;95;21-8.
Physiotherapy research international 2001; vol 120;971-978.
[2]. Bartlett RH, Gazzaniga AB,Gerraghty TR.Respiratory maneuvers to prevent post operative pulmonary
complications.Journal of American medical association 1973 ;224 ;1017-1021.
[3]. Christine Bradley, Jean M Crowe. The effectiveness of Incentive Spirometry with physical therapy for high
risk patients after CABG.Physical therapy Journal Mar1997; vol 77;260-268.
[4]. Craig DB. Post operatively recovery of pulmonary function. Review article anesthesia and analgesia 1981;
60(1);46-52.
[5]. Dan Schuller MD and Lee E. Morrow, MD. pulmonary complications after coronary revascularization.
Current opinion in cardiology,2005;15;309-315.
[6]. Dilworth JP, White RJ.post operative chest infection after upper abdominal surgery; an important problem
for smoker. Respiratory Medicine1992;86;205-210.
[7]. Elliot TR, Dingley LA. Massive collapse of the lungs following abdominal operations. American journal of
surgery 1994;1305-1309.
[8]. Erik H.J. Hulzebos, Paul J.M. Helders, Nine J. Favie et al.pre operative intensive inspiratory muscle training
to prevent post operative pulmonary complications in high risk patients undergoing CABG surgery. JAMA
journal oct 2006; vol 296;1851-1857.
[9]. Hunt J, Mycykt, Thomson D, et al. Respiratory outcomes with early extubation after CABG.Journal of
cardiothoracic vascular anesthesia 1997;11;4
[10]. Konrad, Hewlett AM, Hulands GH. Functional residual capacity during anesthesia spontaneous respirations.
British journal of anesthesiology 1995;46;486-494.
[11]. Pryor J. Physiotherapy for respiratory and cardiac problem. London, Churchill Livingstone 1998;444-446.
[12]. Stiller k, Montarelloj,Wallace M,Daff M,grant Jenkins Efficacy of breathing and coughing exercises in the
prevention of pulmonary complications after coronary artery surgery; Chest 1994;105;741-747.
[13]. Torrington and Henderson, Rochelle Wynne, Marie Botti. Post-operative pulmonary dysfunction in adults
after cardiac surgery with cardiopulmonary bypass, Clinical care medicine 1988;27;1454-1460.
[14]. Weissmann, MD. Pulmonary function after cardiac &thoracic surgery. Journal of Anesthesiology and critical
care medicine.1999;88;1272-9.
[15]. Zin WA, calderia MPR, Cardoso WV et al. Expiratory mechanisms before and after uncomplicated heart
surgery. Chest 1989;95;21-8.