Chest physiotherapy revisited: evaluation of its influence on the pulmonary morbidity after pulmonary resection

Abstract

Implementing a program of perioperative intensive chest physiotherapy reduced the overall pulmonary morbidity after lobectomy for lung cancer.

Postoperative Care of Patients Undergoing Lung Resection

“…The overall incidence of PPC following thoracic surgery has been reported to vary from 15% to 37.5%, primarily due to the type of pulmonary complications studied, the clinical criteria used in the definition, and the type of lung surgery included [34]. Recent studies have reported a much lower incidence, ranging form 3.9% in the study by Reeve et al [35] to 12% in the Agostini et al study [36] (where PPC were defined as clinical or microbiological evidence of pulmonary infection requiring antibiotic therapy, or clinically significant atelectasis requiring bronchoscopy) to 15.5% and 4.7% respectively before and after implementing intensive physiotherapy in the report by Novoa et al [37]. Minor PPC are quite common and include unexplained fever, excessive bronchial secretions, abnormal breath sounds, and productive cough.…”

“…Agostini et al [53] demonstrated that physiotherapy either with or without incentive spirometry may reduce the incidence of PPC and improve lung function. Novoa et al [37] evaluated the role of perioperative chest physiotherapy in modifing the risk of pulmonary morbidity after lobectomy in 784 lung cancer patients (361 operated after implementing a new physiotherapy program). They reported that chest physiotherapy performed by specialized therapists reduced the overall pulmonary morbidity after lobectomy for lung cancer.…”

Rehabilitation, weaning and physical therapy strategies in chronic critically ill patients

“…The aims of these programmes in critically ill patients are: to apply advanced costeffective therapeutic tools to decrease bed rest complications and patients' ventilator dependency; to improve residual function; to prevent the need for new hospitalisations; and to improve health status and quality of life [18][19][20]. Physical therapy in patients undergoing cardiac, upper abdominal and thoracic surgery may prevent and treat respiratory complications, such as secretion retention, atelectasis and pneumonia, by means of different techniques.…”

Effects of a Progressive Walking Program on Physical Activity, Exercise Tolerance, Recovery, and Post-Operative Complications in Patients with a Lung Resection

“…폐절제술 환자의 수술 후 폐합병증 감소를 위해 조기이상을 포함 한 유산소 운동이 효과적인 것으로 보고된다 [7,8] 15.8% 감소시키고, 재원일수를 2.9일 단축시킨 것으로 나타났다 [10]. 그 러나 운동을 하더라도 운동의 강도가 너무 낮은 경우에는 운동능력 과 폐합병증에는 유의한 효과가 없는 듯하다 [11,12].…”