Behavior of Pulmonary Function after Hospital Discharge in Patients Submitted to
            Myocardial Revascularization

Cordeiro, André Luiz Lisboa; Silva, Letícia Gardênia Romualdo da; Pinto, Milena Oliveira; Araújo, Jaclene da Silva; Guimarães, André Raimundo; Petto, Jefferson

doi:10.5935/2359-4802.20180092

Cited by 3 publications

(5 citation statements)

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“…In our study, respiratory muscle strength decreased from the preoperative to the 3rd postoperative day in all groups. 3,8 We emphasize that in our study there was no specific training for respiratory muscles, which could justify these results. However, other studies that used expiratory positive airway pressure suggest an additional effect on recovery of respiratory muscle strength.…”

Section: Discussionmentioning

confidence: 64%

“…Patients undergoing cardiac surgery may present postoperative changes such as reduced lung volume and flow, 1–3 reduced respiratory muscle strength 3 and increased rate of pulmonary complications. 1,4,5 To minimize these changes, breathing exercises with positive expiratory pressure are used, 6–9 and can be offered by different devices, such as positive expiratory pressure blow-bottle device and expiratory positive airway pressure.…”

Section: Introductionmentioning

confidence: 99%

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Positive expiratory pressure in postoperative cardiac patients in intensive care: A randomized controlled trial

et al. 2020

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Objective: To evaluate effectiveness of positive expiratory pressure blow-bottle device compared to expiratory positive airway pressure and conventional physiotherapy on pulmonary function in postoperative cardiac surgery patients in intensive care unit. Design: A randomized controlled trial. Settings: Tertiary care. Subjects: 48 patients (16 in each group; aged 64.5 ± 9.1 years, 38 male) submitted to cardiac surgery. Interventions: Patients were randomized into conventional physiotherapy (G1), positive expiratory pressure blow-bottle device (G2) or expiratory positive airway pressure, both associated with conventional physiotherapy (G3). G2 and G3 performed three sets of 10 repetitions in each session for each technique. Main measures: Pulmonary function (primary); respiratory muscle strength, radiological changes, pulmonary complications, length of intensive care unit and hospital stay (secondary) assessed preoperatively and on the 3rd postoperative day. Results: Pulmonary function (except for forced expiratory volume in one second/ forced vital capacity % predicted) and respiratory muscle strength showed significant reduction from the preoperative to the 3rd postoperative in all groups ( P < 0.001), with no difference between groups ( P > 0.05). Regarding radiological changes, length of intensive care unit stay and length of hospital stay, there was no significant difference between groups ( P > 0.05). Conclusion: Both positive expiratory pressure techniques associated with conventional physiotherapy were similar, but there was no difference regarding the use of positive expiratory pressure compared to conventional physiotherapy. Clinical Trial Registration Number: NCT03639974. https://clinicaltrials.gov/ct2/show/NCT03639974

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Positive expiratory pressure in postoperative cardiac patients in intensive care: A randomized controlled trial

et al. 2020

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“…A result like the study by Silva et al [13] It is worth highlighting the differences between the incentives that can influence the outcome of the training. Cordeiro et al [4] show that patients undergoing cardiac surgery have reduced pulmonary function, inspiratory muscle strength, peak expiratory flow up to one month after surgery, generating changes in ventilatory mechanics.…”

Section: Discussionmentioning

confidence: 99%

“…These complications can lead to an increase in hospital stay, risk of functional decline and increased mortality rate. In this sense, inspiratory muscle training (IMT) appears as a tool for hospital rehabilitation of this population [1][2][3][4][5]. Some intra and postoperative procedures are directly linked to these complications: the median sternotomy, the effects of anesthesia, cardiopulmonary bypass (CPB), use of chest tubes and invasive mechanical ventilation can alter respiratory mechanics [6,7].…”

Section: Introductionmentioning

confidence: 99%

Dois tipos de treinamento muscular inspiratório sobre a força muscular de pacientes após revascularização do miocárdio: ensaio clínico

Cordeiro¹,

Soares²,

Vasconcelos³

et al. 2021

Fisioter Bras

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Introdução: A cirurgia de revascularização do miocárdio (CRM) causa alterações na musculatura respiratória que afetam a capacidade funcional e complicações pós-operatórias (DCP). O treinamento muscular inspiratório (TMI) é uma ferramenta utilizada por esses pacientes, mas não se sabe qual é a melhor forma de aumentar a força. Objetivo: Investigar se o TMI com dispositivo de carga de pressão linear é superior ao incentivo inspiratório na capacidade funcional e força muscular de pacientes submetidos à CRM. Métodos: Este é um ensaio clínico. Os pacientes foram avaliados no pré-operatório para pressão muscular inspiratória (PImáx), pressão expiratória (PEF), pico de fluxo expiratório (PFE), teste de caminhada de seis minutos (TC6) e medida de independência funcional (MIF). Após a cirurgia, eles foram divididos em três grupos: grupo controle (GC), grupo treinamento com carga linear de pressão (IMT) e grupo incentivo inspiratório (GI). No dia da alta, todos os pacientes tiveram suas variáveis anteriores reavaliadas. Resultados: O estudo incluiu 56 pacientes, 31 (55,4%) eram do sexo masculino e idade média de 55 ± 12 anos. Houve redução significativa em todas as variáveis, em relação à PImáx, o IMT apresentou valor maior no pós-operatório 83 ± 19 cmH2O, contra 70 ± 15 cmH2O no GC e 80 ± 15 cmH2O no GI (p < 0,001). O mesmo comportamento foi observado na PEmáx, 77 ± 12 cmH2O no IMT, 67 ± 14 cmH2O no GC e 75 ± 10 cmH2O no GI (p <0,001). Em relação ao TC6, houve menor perda no TMI de 434 ± 15 metros para 398 ± 20 metros no GI (p < 0,001). Conclusão: Conclui-se que o treinamento muscular com dispositivo de carga pressórica linear é superior ao treinamento com incentivo inspiratório na capacidade funcional e da força muscular em pacientes submetidos à CRM.

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“…1,2 In a previous study, our group observed this decline is maintained even one month after the procedure, and other authors have shown it up to one year. 2,3 Our group also found that the application of the inspiratory muscle training (IMT), based on the glycemic threshold, is effective in minimizing these effects during the hospital stay. 4 The surgical procedure is associated with worsening of pulmonary capacity and muscle strength due to surgical incision, time of cardiopulmonary bypass, mechanical…”

mentioning

confidence: 98%

Ventilatory Muscle Strength Six Months After Coronary Artery Bypass Grafting in Patients Submitted to Inspiratory Muscular Training Based on Anaerobioc Threshold: A Clinical Trial

Cordeiro¹,

Almeida²,

Leite³

et al. 2023

International Journal of Cardiovascular Sciences

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Patients undergoing coronary artery bypass grafting (CABG) experience a reduction in ventilatory muscle strength and pulmonary function, which persists until hospital discharge. 1,2 In a previous study, our group observed this decline is maintained even one month after the procedure, and other authors have shown it up to one year. 2,3 Our group also found that the application of the inspiratory muscle training (IMT), based on the glycemic threshold, is effective in minimizing these effects during the hospital stay. 4 The surgical procedure is associated with worsening of pulmonary capacity and muscle strength due to surgical incision, time of cardiopulmonary bypass, mechanical

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Behavior of Pulmonary Function after Hospital Discharge in Patients Submitted to Myocardial Revascularization

Cited by 3 publications

References 1 publication

Positive expiratory pressure in postoperative cardiac patients in intensive care: A randomized controlled trial

Positive expiratory pressure in postoperative cardiac patients in intensive care: A randomized controlled trial

Dois tipos de treinamento muscular inspiratório sobre a força muscular de pacientes após revascularização do miocárdio: ensaio clínico

Ventilatory Muscle Strength Six Months After Coronary Artery Bypass Grafting in Patients Submitted to Inspiratory Muscular Training Based on Anaerobioc Threshold: A Clinical Trial

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