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Effect of flutter device on airway mucus clearance, physiological parameters, and arterial blood gas analysis in patients with coronary artery bypass grafting during Phase 1 cardiac rehabilitation A randomized control trial

Nishant Singh, Ganesh B R.

Abstract
Background: cardiac surgery is associated with the occurrence of pulmonary complications, which may be defined as any pulmonary condition that occurring during the post-operative period which may produce dysfunction that is clinically significant and may adversely affects the clinical course.

Objective: The objective of the study was to evaluate the effect of flutter device on airway mucus clearance, physiological parameters, and arterial blood gas analysis in patients with coronary artery bypass graft (CABG) in during Phase 1 cardiac rehabilitation.

Materials and Methods: A total of 40 patients postoperative CABG surgery were randomly assigned to receive either experimental group along with flutter device and control group received conventional physiotherapy, outcome measure include arterial blood gas analysis, physiological parameters, and sputum amount.

Result: This control trial of 5 days gave result that flutter device and conventional exercise have an effect on PCO2 and sputum index both experimental and control group while there was effect on PO2 in the investigational group and pulse rate in control group. Flutter device when analyzed from baseline to 5th post-operative day sputum score and PCO2 analysis. Other measures showed no significant differences.

Conclusion: Flutter device should be incorporated as a routine practices along with other chest physiotherapy techniques during Phase 1 of cardiac rehabilitation, which can have positive results in the quality of life and improving overall functional status in subjects following CABG, thereby minimizing the hospital stay.

Key words: Coronary Artery Bypass Grafting; Arterial Blood Gas; Airway Clearance, Flutter Device


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