Cardiothoracic & vascular anesthesia
Effect of Active Physiotherapy With Positive Airway Pressure on Pulmonary Atelectasis After Cardiac Surgery: A Randomized Controlled Study
Primary result · Mean RASResult — go to the resultMean difference −1.1 95% CI −1.6 to −0.6Authors' conclusion
Active work with the PAP effect, combined with CP, significantly decreased the RAS of patients undergoing cardiac surgery after 2 days of CP, with no differences observed in clinically relevant parameters.
Study context
- Population
- Adults with pulmonary atelectasis after extubation on POD 1 or 2 after cardiac surgery (CABG, valve surgery, or both) with CPB, single tertiary centre79 (99%) completed
- Participants
- 80 adults
- Comparison
- Intervention vs Control
- Primary endpoint
- Mean radiologic atelectasis score (RAS) from daily chest x-rays
- Follow-up
- Day 2 after inclusion
Methodological detailssingle-centre, blinded radiograph review, Randomized November 2014 to September 2016
- Single-centre
- Blinded radiograph review
- Randomized November 2014 to September 2016
Primary result
Mean RAS
Mean difference
−1.1
95% CI −1.6 to −0.6
P < 0.001
Intervention vs Control
mean difference −1.1 (95% CI −1.6 to −0.6); P < 0.001
As reported in the abstract
Secondary outcomes
| Outcome | Difference (cmH2O) (CI) | P value | |
|---|---|---|---|
| Sniff nasal inspiratory pressure · day 2Significantly higher in the intervention group | 7.7 (3.0–12.5) | P = 0.002 | |
| −5051015Difference, cmH2O (linear scale) |
| Outcome | Difference (breaths/min) (95% CI) | P value | |
|---|---|---|---|
| Respiratory rate · day 2Lower in the intervention group | −3.2 (−4.8 to −1.6) | P < 0.001 | |
| −6−4−202Difference, breaths/min (linear scale) |
SpO2/oxygen requirement ratio, heart rate, pain, dyspnea scores
- No differences between the 2 groups
Original publication
Effect of Active Physiotherapy With Positive Airway Pressure on Pulmonary Atelectasis After Cardiac Surgery: A Randomized Controlled Study. J Cardiothorac Vasc Anesth. Published 30 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →