LATE-BREAKING ABSTRACT: Early mobilization optimizing fluid of mediastinal and thoracic tube in the postoperative patients after coronary artery bypass surgery

Introduction: Coronary artery bypass surgery can lead to pulmonary complications like pleural effusion and pneumonia. These complications increase the length of stay and the immobility time. Objectives: Our aim was to assess the impact of early mobilization of fluids drainage of chest tubes and the incidence of pulmonary complications. Methods: A prospective, randomized study included 102 patients divided in three groups. In the Control Group(CG:n=33) the patients were seated in armchair in the first 48 hours postoperative time. In the Orthostatic Group (ORT n=34) the patients were seated after six hours of extubation in the first 24 hours and after 30 minutes they were positioned erect to perform static exercises for 30 seconds. The patients of the Lateral Rotation Group (TRCL n=34), six hours after extubation in the first 24 hours , were subjected to consecutive cycles of lateral rotation to the left and right side, and supine position with 30 seconds for pauses. Results: All the groups obtained the similar volume of pleural fluid drainage. In the ORT and TRCL groups the drainage was faster (p Conclusion: The early mobilization facilitates fluids drainage of chest tubes and makes it feasible and safer it maybe possible early extraction of chest tube in the postoperative period of coronary artery bypass surgery.