تم تسليم نسحتين آخريتين بنفس العنوان برقم 69395 : 68372

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Developmental Disorders in Pediatrics

The purpose of the current study was to investigate the effects of chest physiotherapy program pre- closed heart thoracotomy surgery on the prevention and/or reduction of postoperative pulmonary complications in pediatric cardiac surgical intensive care unit (PCSICU). Subject: Thirty infants of both sexes (15 males and 15 females) in the pre- and immediate postoperative period following cardiac surgery in Cardio-Pulmonary intensive care unit (ICU) with age ranged from 1 month to 12 months were included in the study. They were classified into two groups of equal number (control group A and study group B which were matched in age, sex, severity and complexity. Methods: Both groups were assessed in their first day postoperative for arterial blood gases (PH, PaCO2, PaO2, and SaO2), peripheral oxygen saturation by pulse oximetry (SPO2), heart rate and respiratory rate. Control group (A) received medical treatment in addition to traditional postoperative respiratory care in form of (humidification, vibration and suctioning). Study group (B) also received the same as in control group in addition to special chest physical therapy program which included modified posture drainage, percussion, specialized breathing techniques, and assisted cough techniques. The treatment program was conducted for 3 days pre- operative and 10 successive days postoperative. Each session was applied for 30 minutes, 2 times daily thus offering total physiotherapy program of one hour daily. Results: The post treatment findings of the current study at the end of treatment revealed that there was less hypoxemia in the study group than control group. By comparing pre to post treatment, in the study group the deterioration and pulmonary complications degree was lower than the control group

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