Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

189 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Fighting lung congestion after a CABG, please give me your suggestions!

My father has undergone a CABG and has been suffering from several post operative challenges. One of the major roadblocks to his recovery now is his inability to cough out the phlem depositing in his lungs. As I see it there are a few reasons for this. First, he is too week to do it. Second, since he had to undergo a sternal rewiring surgery after his CABG he has a mental block that coughing out strongly would impact the sternum again. Finally, he is just down right depressed having passed more than 15 days in critical care units of the hospital. I look forward to any suggestions that you might have for helping him and motivating him to come out on top of this challenge.
Sun, 3 Jan 2010
Report Abuse
Question is related to
Medical Procedures
  User's Response
's  Response
Hospitalized patient often have diminished respiratory effort and impaired mucociliary clearance of pulmonary secretion. A number of factors can contribute to these impairments, including decreased physical activity, pain, altered mental status, and certain medication. The goal of bronchial hygiene therapy is to supplement airway mucociliary clearance and optimize pulmonary function. The essential components of bronchial hygiene therapy include: 1-Humidification of the airways 2-Deep breathing and incentive spirometry 3-Chest physiotherapy 4-Noninvasive positive-pressure techniques 5-Invasive suctioning of the bronchotracheal tree But, all of above, is performance of duty of framework nursing, with direct order a doctor.
  User's Response
JJ Lubus's  Response

I have  a similar problem though I am home.I am taking spirometry exercises but my main concern is that I am having difficulty sleeping due to shortness of breath. I have had fluid removed and tho there is some residual fluid, the Drs say I'm progressing. But I can't sleep. Ambiend causes depression. How can I get some sleep?2 D Echo and heart funnctions are good. Any time table on this.? I am a strong 81.

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

My father, underwent a CABG Operation. After the surgery , he had got secretions in his lungs and they had to be taken out with the use of nebulizers. Once discharged from the hospital, he did not have any breathing complications and was able to cough out the secretions without any aid. However, even after 3 weeks, his voice has not been restored to normalcy. There is loss of voice when he speaks. Is this an area of concen? Kindly advise me on the same.

doctor1 MD

My father,aged 61, a diabetic, underwent a CABG Operation on 28 Feb 2011. After the surgery , he had got secretions in his lungs and they had to be taken out with the use of nebulizers and he was breathing with the aid of an oxygen mask till he was out of the ICU. He was in the ICU for 6 days. Once discharged from the hospital, he did not have any breathing complications and was able to cough out the secretions without any aid. However, even after 3 weeks, his voice has not been restored to normalcy. There is loss of voice when he speaks. Is this an area of concen? Kindly advise me on the same.

doctor1 MD

My father, underwent a CABG Operation. After the surgery , he had got secretions in his lungs and they had to be taken out with the use of nebulizers and he was breathing with the aid of an oxygen mask till he was out of the ICU. He was in the ICU for 6 days. Once discharged from the hospital, he did not have any breathing complications and was able to cough out the secretions without any aid. However, even after 3 weeks, his voice has not been restored to normalcy. There is loss of voice when he speaks. Is this an area of concen? Kindly advise me on the same.

Recent questions on  Cardiac surgery

doctor1 MD

My father age 74 undergone heart bypass surgery in Godbole heart hospital thane on 2nd Jan 2011. He used to complain chest pains and gases in the night in the month of December and diagonised with heart blockages. After heart surgery he was discharged from hospital after successful operation and went to Andheri at my brother s place. At that time he had 101 fever and started having diarhea for so many times that he could not walk. He didnt want to have water or any food at that time. We admitted in Andheri hospital, and found that he is having infection with WBC went as much as 35K, Dr treated him with antibiotics and also dialysis since his urine output reduced due to dehydration. After 7 days his diarhea stopped, urine output increased and WBC count came to 10K. Again after 2 days he startted having diarhea with 100 fever, then dr consulted gastroentologist. He was of the opinion that this is due to antibiotic effect. Still my father had the diarhea and could not walk. So dr. Suggested colonoscopy. Blood culture, stool culture came negative. Just checking 1 what could be the reason of this? Anything related to operation? Infection? 2 He was very active before operation and sometimes had constipation 3 Will he be able bare colonoscopy and will it help

doctor1 MD

Hi I had sever mitral',valve reguritation in june when was pregnant, my last heart scan showed the leaking had slowed/stopped, I am due another heart scan next week, but these last few days been experiencing bad circulation in my feet when i get out of bed, have always had in my hands but never my feet,'will this be due to my heart problem?

doctor1 MD

Hello, I am a 39 year old female. I received my second ever kenalog shot for allergies over a week ago. The one previous was a year prior to that. In the past 3 days I have been experiencing heart palpitaions the entire day and night. I have had palpiations for years now, but only once in a while. The palpitions I am now experiencing are continuous. I had been tested about five years ago and was told I had tricuspid and mitral valve regurgitation. Several years later a different doctor sent me for testing and it showed no regurgitation. It doesnt make sense to me. My question is do you think it is possible the palpitations are caused by the kenalog? I was put back on Singulair as well but stopped taking it to see if that was the culprit. I am uneasy with this feeling and it is stressing me out more so worrying about it. Thank you in advance.

doctor1 MD

My 89 year old father just had a triple bypass and valve replacement. He lost kidney function after the surgery. They are now wanting him to go to a long term acute center, I m guessing because his heart rate registers low in the upper 40 s to mid 50 s. how long can I expect him to last on dialysis

doctor1 MD

I had a triple bypass 2weeks ago ...I have a new low grade but constant pain lower left side ..not sick to stomach been having bowel movements

doctor1 MD

My aunt (61 female) has recently been diagnosed with AORTIC VALVE STENOSIS and has been advised to undergo corrective surgery outside our state (J&K) and preferably in XXXXXXX Need to know about the prognosis and the treatment options. Also if you...

doctor1 MD

Shortness of breath often I am 82 years old and my valve is wearing out (according to the Dr) is valve replacement an option