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The effect of early use of continuous positive airway pressure (CPAP) therapy to treat acute atelectasis after cardiac surgery: Randomized study

Fouad Al Mutairi, Stephen Fallows, Elizabeth Mason-Whitehead, Waleed Abukhudair, Baharul Islam
European Respiratory Journal 2011 38: 3250; DOI:
Fouad Al Mutairi
1Clinical Sciences, University of Chester, Chester, United Kingdom
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Stephen Fallows
1Clinical Sciences, University of Chester, Chester, United Kingdom
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Elizabeth Mason-Whitehead
1Clinical Sciences, University of Chester, Chester, United Kingdom
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Waleed Abukhudair
2Respiratory Care, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia
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Baharul Islam
2Respiratory Care, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia
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Abstract

Rationale: Cardiac surgery incisional pain can decrease inspiratory effort, alter normal respiratory mechanics, and increase the potential for post-operative pulmonary complications such as acute atelectasis.

This study aims to assess the effect of the early use of CPAP via mask therapy to treat acute atelectasis.

Methods: 72 participants who fit the inclusive criteria were included. The control group used Incentive Spirometry (IS) 15 times/hour and the trial group used CPAP for half hour every 2 hours both for 3days. Vital capacity (VC), RR, HR and SpO2 were measured after operation as baseline-test, after 12 hours, 24hours, 48 hours and posts the therapy. Failure was defined as a need for an advance therapy.

Result: 66 male and 6 female (mean ages; 57±5.3 years) were participated. 26/36 participants from CPAP group had succeed (72%) and 19/36 from IS group had succeed (53%). VC was increased significantly in CPAP group (baseline mean for IS group 1.31L and CPAP group 1.43L, post- therapy mean 1.59L and 1.88L respectively, p=0.02) (figure 1). SpO2 was decreased significantly in IS group (baseline 98.25%, 97.19%, post-therapy 96.53%, 96.83 respectively, p=0.003) and no significant different in RR and HR.

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Figure 1

Conclusion: Early used of CPAP via mask therapy had better outcomes to treat post surgical atelectasis especially with smoker and elderly patients.

  • © 2011 ERS
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The effect of early use of continuous positive airway pressure (CPAP) therapy to treat acute atelectasis after cardiac surgery: Randomized study
Fouad Al Mutairi, Stephen Fallows, Elizabeth Mason-Whitehead, Waleed Abukhudair, Baharul Islam
European Respiratory Journal Sep 2011, 38 (Suppl 55) 3250;

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The effect of early use of continuous positive airway pressure (CPAP) therapy to treat acute atelectasis after cardiac surgery: Randomized study
Fouad Al Mutairi, Stephen Fallows, Elizabeth Mason-Whitehead, Waleed Abukhudair, Baharul Islam
European Respiratory Journal Sep 2011, 38 (Suppl 55) 3250;
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