Physiotherapeutic Approaches and the Effects on Inspiratory Muscle Force in Patients With Chronic Obstructive Pulmonary Disease in the Pre-Operative Preparation for Abdominal Surgical Procedures

Abstract

Background: Abdominal disorders can alter respiratory function and increase the morbidity and mortality of patients with chronic obstructive pulmonary disease. Aim: To improve the physiotherapeutic and muscular capacity in chronic obstructive pulmonary muscular inspiration in the preoperative preparation in abdominal surgeries. Method: Retrospective and documentary study using SINPE © , clinical database software of patients with chronic obstructive pulmonary disease and candidates to abdominal operation. The sample consisted of 100 men aged 55-70 years, all with chronic obstructive pulmonary disease who underwent preoperative physiotherapeutic treatment. They were divided into two groups of 50 individuals (group A and group B). In group A the patients were treated with modern mobility techniques for bronchial clearance and the strengthening of the respiratory muscles was performed with IMT ® Threshold. In group B the treatment performed for bronchial obstruction was with classic maneuvers and for the strengthening of the respiratory muscles for flow incentive was used Respiron ® . Results: Both groups obtained improvement in the values of the PiMáx after the different treatments. Group A obtained greater change in the intervals and a more significant increase of the values of the PiMax in relation to the average pre and post-treatment. However, when analyzing the variance and the standard deviation of the samples, group B presented the best results showing more homogeneity. Conclusions: The modern and traditional bronchial clearance techniques associated with inspiratory muscle training were equally effective in gaining inspiratory muscle strength with increased Pmax. In this way, the two can be used in the preoperative preparation of patients with chronic obstructive pulmonary disease and referred to abdominal operations.

Multiprofessional Electronic Protocol for Digestive Surgery Validation

“…Information and communication technologies have made it possible to change the characteristics of the practice of Medicine and related areas, as they allow the large volume of information that is generated continuously to be made available 6 , 8 . Ferreira (1996) 9 points out that “Systems must be modeled according to users, with the nature of their information needs and with their behavioral patterns in the search and use of information”.…”

“…Information and communication technologies have made it possible to change the characteristics of the practice of Medicine and related areas, as they allow the large volume of information that is generated continuously to be made available 6,8 . Ferreira multiprofessional protocol, now presented, the previous collections were incorporated, which were inserted without modifications in the new protocol, manually.…”

“…The integration between Informatics and Medicine has been decisive in the medical literature. The use of computer resources, especially in regard to the capture, storage and search of clinical data, has been of great importance in the production of relevant and reliable clinical studies 1,4,6,8 .…”

Protocolo eletrônico multiprofissional de coleta de dados clínicos e cirúrgicos em insuficiência venosa crônica

“…10 Many different electronic protocols have already been developed, focused on other diseases and in a variety of different branches of medicine. [11][12][13][14] However, there are no similar publications for chronic venous insufficiency (CVI).…”