hi as u got the reply its the same protocol we people use for post op beating hrt srgry pts but in the inst am working most of the surgeries performed r beating hrt ,but patient is progressed to siiting in chair as soon as drains and lines (femoral and pa ,cvp monitoring lines r removed) mostly post -op day 2 and made to walk to toilet by end of day 2 or beginning of day 3(assissted ).we progress with b/l arm excs and knee excs by day2 itself otherwise spasm of pect msls and horizontal abd increase. incentive spiro ,huffing and relaxed diaphragmatic brthng incorporated day 1 only.