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Eremenko A.A.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Zyulyaeva T.P.

Petrovsky National Scientific Center of Surgery

Alferova A.P.

Petrovsky National Scientific Center of Surgery

Effectiveness of oscillating PEP-therapy in early period after cardiac surgery

Authors:

Eremenko A.A., Zyulyaeva T.P., Alferova A.P.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6): 477‑482

DOI: 10.17116/kardio202114061477

Read: 1379 times

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Table of contents

EFFECTIVENESS OF OSCILLATING PEP-THERAPY IN EARLY PERIOD AFTER CARDIAC SURGERY
EFFECTIVENESS OF OSCILLATING PEP-THERAPY IN EARLY PERIOD AFTER CARDIAC SURGERY

To cite this article:

Eremenko AA, Zyulyaeva TP, Alferova AP. Effectiveness of oscillating PEP-therapy in early period after cardiac surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(6):477‑482. (In Russ.)
https://doi.org/10.17116/kardio202114061477

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the effectiveness and safety of oscillating PEP-therapy in early postoperative period after cardiac surgery.

MATERIAL AND METHODS

The study included 60 cardiac patients. Oscillating PEP-therapy was performed using Acapella device 10—12 hours after tracheal extubation. Blood gases were measured on room air before and in 20 min after the procedure.

RESULTS

Poor sputum evacuation was observed in 93.3% of patients. After single session of PEP-therapy, the number of patients with a productive cough increased by more than in 8 times (p<0.001). The number of patients with maximum inspiratory lung capacity (MILC) <500 ml decreased from 25% to 0%, >1500 ml — increased from 8.3 to 28.3% (p<0.01). Median MILC increased by 38.9% (p<0.001), SpO2 — by 3.2% (p<0.001). The most significant effect of PEP-therapy was observed in 11 patients with concomitant respiratory diseases: SpO2 increased from 92.1 to 94.7% (p=0.011), MILC increased by 44.2% (p=0.005), PaO2/PAO2 decreased from 0.65 to 0.59 (p=0.001). The total number of patients with respiratory failure (SpO2<92%) decreased by 3.86 times (p=0.0015).

CONCLUSION

Oscillating PEP-therapy has a positive effect on sputum passage, ventilatory parameters and oxygenation in cardiac surgery patients. The most significant effect is observed in patients with concomitant respiratory diseases. We found good tolerability of the procedure and no associated complications.

Keywords:

oscillating PEP-therapy
breathing simulator
intensive care unit
cardiac surgery patients

Authors:

Eremenko A.A.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Zyulyaeva T.P.

Petrovsky National Scientific Center of Surgery

Alferova A.P.

Petrovsky National Scientific Center of Surgery

Received:

13.07.2021

Accepted:

12.08.2021

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References:

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