Summyia Siddique Malik, Naureen Tassadaq.
Effectiveness of Deep Breathing Exercises and Incentive Spirometry on Arterial Blood Gases in Second Degree Inhalation Burn patients.
J Coll Physicians Surg Pak Jan ;29(10):954-7.

Objective: To find out the effectiveness of the deep breathing exercises and incentive spirometryon arterial blood gases in second degree inhalation burn patients. Study Design: Randomised control trial. Place and Duration of Study: The study was conducted in the Burns Unit of PIMS Hospital, Islamabad from September 2017 to March 2018. Methodology: The data was collected on structured questionnaire using respiratory distress scoring and objective tools including arterial blood gases (ABGs) and vital signs with signed consent. There was random allocation of patients in the control and experimental groups. Baseline data was collected on day 00 and after completion of 14 sessions, it was recollected on day 07, and was assessed by using independent t-test and paired t-test. Both groups were given standard medical and nursing care. The experimental group was given single treatment regimen i.e. deep breathing exercises (given twice daily with 5-10 repetitions of each DBE possible onto patient for a period of 15-30 minutes). ISM was being performed on control group patients with 10-15 cycles along with steam inhalation and nebulization with beta 2 agonist for a period of 15-20 minutes for 35-45 minutes twice daily for a period of 07 days. Results: The male to female ratio was 7:8 in control group and 8:7 in the experimental group. The mean age was 29.6 +-6.66 years in the control group, and 38.4 +-4.91 years in the experimental group. The pH in arterial blood gas analysis of the experimental group was 7.33 (p=0.002) >pO2 was 90.53 (p<0.001) and pCO2 was 41.61 (p=0.626). For control group, the pH in ABGs was 7.36 (p=0.268), pO2 was 88.06 (p=0.739) and pCO2 was 38.86 (p<0.001). Conclusion: Deep breathing exercises are significant in improving pulmonary complications in patients of second degree inhalation burns.

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