2008
DOI: 10.1590/s0102-76382008000300019
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Abstract: It is well known that anesthesia and certain surgeries predispose patients to changes in respiratory function, pulmonary volumes, and gas exchange. Cardiac surgery, which is considered a major surgery, may trigger respiratory complications in the postoperative period. These complications have various causes, such as heart and lung functions in the pre-operative, the use of cardiopulmonary bypass (CPB), and the level of sedation. In these extensive thoracic procedures, respiratory dysfunction may be significant… Show more

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Cited by 46 publications
(50 citation statements)
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References 26 publications
(52 reference statements)
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“…These changes are related to various causes such as heart and lung function preoperatively, duration of CPB and the degree of sedation [7], intensity of surgical manipulation and the number of pleural drains, and the intraoperative factors were the main responsible for change on respiratory mechanics in the immediate postoperative period [2,6].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These changes are related to various causes such as heart and lung function preoperatively, duration of CPB and the degree of sedation [7], intensity of surgical manipulation and the number of pleural drains, and the intraoperative factors were the main responsible for change on respiratory mechanics in the immediate postoperative period [2,6].…”
Section: Discussionmentioning
confidence: 99%
“…The median sternotomy, the most used approach to the procedure of CABG surgery, promotes significant changes in pulmonary function by the consequent instability of the upper chest and leads to changes in mechanical ventilation and ineffective coughing [7]. The use of CPB and absence of pulmonary ventilation during this period are also determining factors in the development of pulmonary complications after heart surgery, probably by changes in mechanical properties of the respiratory system resulting from changes in pulmonary compliance and resistance [8,9].…”
Section: Introductionmentioning
confidence: 99%
“…Physiotherapy contributes to adequate ventilation and leads to successful extubation in the postoperative period, after the patient's arrival in the intensive care unit. [5,[7][8][9].…”
Section: Alveolar Recruitment Techniquesmentioning
confidence: 99%
“…Physiotherapeutic care encompasses a variety of techniques, including breathing pattern exercises, early ambulation, kinesiotherapy, positioning, and stimulus to cough. Respiratory physiotherapy, following the arrival in the ICU, contributes a lot to the proper ventilation and to the success of the extubation 4 .…”
Section: Introductionmentioning
confidence: 99%