Effect of the Active Cycle of Breathing Technique on Coronary Artery Bypass Graft Patients' Outcomes

NCT ID: NCT06910020

Last Updated: 2025-06-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 92 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-10
• Study Completion Date: 2025-05-25

Brief Summary

Following CABG surgery, patients are at risk for several complications. One of the most common complications is postoperative pulmonary complications, which include atelectasis and dyspnea. These complications cause prolonged ICU length of stay and increased health care costs. Several studies recommended the active cycle of breathing technique as a method that increases secretion removal and improves lung functions, thus reducing the incidence of postoperative pulmonary complications. Our study aims to investigate the effect of the active cycle of breathing technique on coronary artery bypass graft patients' outcomes.

Conditions

Coronary Artery Bypass; Coronary Arterial Disease (CAD)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: TRIPLE

Study Groups

Active Cycle of Breathing Technique

Patients who will perform ACBT exercises in addition to the routine ICU care.

Group Type: EXPERIMENTAL

Active Cycle of Breathing Technique

Intervention Type: OTHER

• Patients will assume the sitting position and relax their shoulders, then perform the following:

1. Breathing control (abdominal breathing)

2. Chest expansion (thoracic breathing)

3. Huff cough (forced expiratory technique)

• After completing the above actions, patients will be asked to cough up the residual deep sputum to promote pulmonary expansion.
• The ACBT intervention will be performed for three days, each day two sessions, each session three courses, with 10 minutes of rest between them as needed.

Control Group

Patients who will receive routine ICU care (chest physiotherapy and incentive spirometer) without ACBT.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Active Cycle of Breathing Technique

• Patients will assume the sitting position and relax their shoulders, then perform the following:

1. Breathing control (abdominal breathing)

2. Chest expansion (thoracic breathing)

3. Huff cough (forced expiratory technique)

• After completing the above actions, patients will be asked to cough up the residual deep sputum to promote pulmonary expansion.
• The ACBT intervention will be performed for three days, each day two sessions, each session three courses, with 10 minutes of rest between them as needed.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Any adult patient who will undergo CABG

Exclusion Criteria

• Mechanically ventilated patients on the first postoperative day.
• Patients with preoperative lung collapse or pleural effusion.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mansoura University

OTHER

Sponsor Role: lead

Responsible Party

Shaimaa Nagi Abdelkader Yousef

Demonstrator of Critical Care and Emergency Nursing

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cardiothoracic and Vascular Surgery Center

Al Mansurah, Dakahliya, Egypt

Countries

Egypt

Other Identifiers

320

Identifier Type: REGISTRY

Identifier Source: secondary_id

320

Identifier Type: -

Identifier Source: org_study_id