Early Postoperative Physiotherapy in the Prevention Respiratory Insufficiency After Elective Heart Surgery
This study aims to determine whether starting respiratory physiotherapy one hour after removal of the breathing tube following elective coronary artery bypass graft (CABG) surgery leads to better recovery than the current standard approach, in which physiotherapy begins on the first postoperative day. The study will evaluate whether earlier physiotherapy improves lung function, reduces postoperative pulmonary complications, shortens intensive care unit and hospital stay, decreases pain and anxiety, and improves overall recovery after surgery. The main question is whether very early postoperative respiratory physiotherapy provides additional benefits for patients recovering from elective heart surgery compared with standard postoperative care.
• Adults aged 18-80 years
• Male and female participants
• Elective coronary artery bypass grafting (CABG)
• Body mass index (BMI) \< 30 kg/m²
• Left ventricular ejection fraction (EF) \> 25%
• Extubated on postoperative day 0 (POD 0)
• Able and willing to provide written informed consent
• Able to perform spirometry and follow study instructions