Early mobilization and exercise in elderly patients after coronary artery bypass grafting

Coronary Artery Bypass Grafting (CABG) is one of the most commonly performed surgical procedures. During the postoperative period, the prolonged bed rest increases the possible occurrence of systemic complications, resulting from immobilization. Knowing that physical exercise balances the blood pressure and taking into account its benefits, we tried to analyze the hemodynamic behavior of the patient in PO after exercise sessions in the ICU. Check the effect of using an interval protocol with cycle ergometer; the use of physical therapy without the cycle ergometer and NIV, in hemodynamic variables (Blood Pressure, Heart Rate, Respiratory Rate and Oxygen peripheral saturation) in elderly patients, postoperative myocardial revascularization surgery in the Intensive Care Unit (ICU). 30 elderly patients undergoing coronary artery bypass graft surgery, with postoperative in ICU selected randomly thus constituting three different groups. Cycloergometer brand - MASTER HOME, model ASK 901 A multi-parametric monitor brand Drager Medical, Model Infinity Vista XL for the collection of HR, RR, BP and SpO2 Mechanical ventilator brand Newport Medical Model: E360Br Masks of Noninvasive Ventilation, Newport Medical brand Peak Flow brand Cardinal Health to analyze the peak expiratory flow Casio stopwatch manual of 8 memories with milesimal precision 1/1000 Procedure for collecting data Before the application of protocols will be carried out the measurement of peak expiratory flow values (Peak Flow) before and after application of each protocol. Results showed a significant increase in Peak Flow values in the three groups (before and after test), significant reduction of systolic blood pressure in group A and increase of respiratory frequency in group B