Journal des maladies et soins respiratoires cliniques : accès libre

Effectiveness of Incentive Spirometry to Reduce Pulmonary Complications and Improve Respiratory Parameter after Coronary Artery Bypass Graft Surgery: A Narrative Review

Abstract

Abdullah Ibn Abul Fazal

Background: Coronary artery bypass graft (CABG) surgery is a surgical procedure to restore normal blood flow to the heart by bypassing obstructed coronary arteries. The goal of coronary artery bypass graft (CABG) surgery is to bypass clogged coronary arteries and return normal blood flow to the heart. Incentive Spirometry is used frequently as a component of postoperative pulmonary management and rehabilitation purpose. This study aimed to explore the effectiveness of Incentive Spirometry by reviewing of the article. Five articles were reviewed in order to fulfil the purpose of this study. With a PEDro score ranging from 5 to 7, randomized controlled trial was used. Studies compared or combined with Incentive spirometry, DBE, ACBT, expiratory positive airway pressure and conventional physiotherapy. From the review it is found out that Incentive spirometry improved arterial oxygenation, functional capacity, oxygen saturation, inspiratory muscle strength and prevention of atelectasis among patients undergone Coronary artery bypass graft (CABG) surgery. Therefore, it is convenient to conclude from the overall review that Incentive Spirometry (IS) is not superior to other conventional physiotherapy techniques, but when used in combination, it can be used as the most effective treatment technique for patients who have undergone coronary artery bypass grafting.