Cardiothoracic & vascular anesthesia

Effect of Breathing Exercises to Prevent Pulmonary Complications in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Pilot Study

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Perioperative breathing exercises may reduce PPC incidence, preserve arterial oxygenation, and improve functional capacity and the quality of life in OPCABG patients.

Study context

Population
Elective off-pump CABG (off-pump coronary artery bypass graft (OPCABG)) patients, tertiary university-affiliated hospital, Beijing, Chinarandomised 1:1
Participants
154 participants
Comparison
Intervention vs Control
  • Interventionn = 77
  • Controln = 77reference
Primary endpoint
PPC incidence
Methodological detailssingle-centre, pilot
  • Single-centre
  • Pilot

Primary result

As reported in the abstract

P < 0.001

Further findings

Postoperative PaO2

Postoperative PaO2 higher
P < 0.05

6-minute walk test distance

6-minute walk test distance longer (327.01 ± 41.07 m v 319.94 ± 29.08 m)
P = 0.03

Short Form-36 physical functioning and social functioning scores · 1 month

Better in the intervention group
P < 0.01

Original publication

Effect of Breathing Exercises to Prevent Pulmonary Complications in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Pilot Study. J Cardiothorac Vasc Anesth. Published 5 May 2026. doi:10.1053/j.jvca.2026.04.046

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