Effect of an Incentive Spirometer Patient Reminder After Coronary Artery Bypass Grafting

The findings suggest that both arguments may be correct

Adam E. M. Eltorai; Grayson L. Baird; Ashley Szabo Eltorai; Terrance T. Healey; Saurabh Agarwal; Corey E. Ventetuolo; Thomas J. Martin; Jane Chen; Layla Kazemi; Catherine A. Keable; Emily Diaz; Joshua Pangborn; Jordan Fox; Kevin Connors; Frank W. Sellke; Jack A. Elias; Alan H. Daniels

2019

Scholarcy highlights

  • The percentage of recorded hours with an inspiratory breath event was greater in bell on
  • Despite no differences in the first postoperative chest radiograph mean atelectasis severity scores, the mean atelectasis severity scores for the final chest radiographs conducted before discharge were significantly lower for bell on than bell off group
  • Of those with early postoperative fevers, fever duration was shorter for bell on
  • The findings suggest that both arguments may be correct
  • Participants with the bell were more adherent with Incentive spirometers use and experienced an improved length of stay and 6-month mortality rates. These results indicate the benefit of IS when a reminder is present compared with the current, no-bell standard of care
  • This is supported by the observed reductions on the duration of high-flow nasal cannula, 6-month mortality rates, and use of noninvasive positive pressure ventilation in participants undergoing nonelective surgery

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