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The immediate effects of deep breathing exercises on atelectasis and oxygenation after cardiac surgery
Authors:Elisabeth Westerdahl  Birgitta Lindmark  Tomas Eriksson  Arne Tenling
Affiliation:1. Department of Medical Sciences, Clinical Physiology, University Hospital, Uppsala, Sweden;2. Departments of Physiotherapy and Thoracic Surgery, ?rebro University Hospital, ?rebro, Sweden;3. Department of Neuroscience, Section of Physiotherapy, University Hospital, Uppsala, Sweden;4. Department of Radiology, ?rebro University Hospital, ?rebro, Sweden;5. Department of Thoracic Anaesthesia, Huddinge University Hospital, Huddinge, Sweden
Abstract:
Objective—To investigate the effects of deep breathing performed on the second postoperative day after coronary artery bypass graft surgery.

Design—The immediate effects of 30 deep breaths performed without a mechanical device (n?=?21), with a blow bottle device (n?=?20) and with an inspiratory resistance‐positive expiratory pressure mask (n?=?20) were studied. Spiral computed tomography and arterial blood gas analyses were performed immediately before and after the intervention.

Results—Deep breathing caused a significant decrease in atelectatic area from 12.3?±?7.3% to 10.2?±?6.7% (p?p?p?2 increased by 0.2?kPa (p?2 was unchanged in the three groups.

Conclusion—A significant decrease of atelectatic area, increase in aerated lung area and a small increase in PaO 2 were found after performance of 30 deep breaths. No difference between the three breathing techniques was found.
Keywords:Bristol  cardiac surgery  communication  consent
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