Effects of a Novel Pneumatic Vest on Postoperative Pain and Lung Function After Coronary Artery Bypass Grafting

Laurikka, Jari; Toivio, I; Tarkka, Matti

doi:10.1080/14017439850140094

Cited by 5 publications

(1 citation statement)

References 9 publications

(8 reference statements)

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“…An inflated vest without oscillation has been reported to decrease vital capacity and peak flow rate. [27] Although the tidal volume and SpO 2 gradually decreased during oscillation, both decrease were very small (Fig. 5, the former <50 mL, the latter <1%).…”

Section: Discussionmentioning

confidence: 97%

Instantaneous responses to high-frequency chest wall oscillation in patients with acute pneumonic respiratory failure receiving mechanical ventilation

Chuang

Chou²,

Lee³

et al. 2017

Medicine

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Background:Endotracheal intubation and prolonged immobilization of patients receiving mechanical ventilation may reduce expectoration function. High-frequency chest wall oscillation (HFCWO) may ameliorate airway secretion movement; however, the instantaneous changes in patients’ cardiopulmonary responses are unknown. Moreover, HFCWO may influence ventilator settings by the vigorous oscillation. The aim of this study was to investigate these issues.Methods:Seventy-three patients (52 men) aged 71.5 ± 13.4 years who were intubated with mechanical ventilation for pneumonic respiratory failure were recruited and randomly classified into 2 groups (HFCWO group, n = 36; and control group who received conventional chest physical therapy (CCPT, n = 37). HFCWO was applied with a fixed protocol, whereas CCPT was conducted using standard protocols. Both groups received sputum suction after the procedure. Changes in ventilator settings and the subjects’ responses were measured at preset intervals and compared within groups and between groups.Results:Oscillation did not affect the ventilator settings (all P > 0.05). The mean airway pressure, breathing frequency, and rapid shallow breathing index increased, and the tidal volume and SpO2 decreased (all P < 0.05). After sputum suction, the peak airway pressure (Ppeak) and minute ventilation decreased (all P < 0.05). The HFCWO group had a lower tidal volume and SpO2 at the end of oscillation, and lower Ppeak and tidal volume after sputum suction than the CCPT group.Conclusions:HFCWO affects breathing pattern and SpO2 but not ventilator settings, whereas CCPT maintains a steadier condition. After sputum suction, HFCWO slightly improved Ppeak compared to CCPT, suggesting that the study extends the indications of HFCWO for these patients in intensive care unit. (ClinicalTrials.gov number NCT02758106, retrospectively registered.)

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Section: Discussionmentioning

confidence: 97%

Instantaneous responses to high-frequency chest wall oscillation in patients with acute pneumonic respiratory failure receiving mechanical ventilation

Chuang

Chou²,

Lee³

et al. 2017

Medicine

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The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials

Abd-ElGawad

Ali

Abdelmonem

et al. 2021

Intl J Gynecology & Obste

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Background Abdominal binder is a non‐pharmacological method of relieving pain after surgical procedures. Objectives To evaluate the effectiveness of the abdominal binder in relieving pain and distress scores after cesarean delivery (CD). Search strategy The following terms were searched: cesarean section, cesarean, caesarean, abdominal deliveries, C‐section, abdominal delivery, abdominal binding, binder, and abdominal binder. Selection criteria Randomized controlled trials (RCTs) with patients undergoing CD receiving an abdominal binder compared with non‐users of the abdominal binder. Data collection and analysis Five electronic databases were searched until November 2019. Records were screened for eligibility. Data were extracted independently and analyzed. The main outcomes were pain and distress scores. Results The final analysis included six RCTs. Overall effect estimate favored the abdominal binder group over the control group in the following outcomes: VAS pain scores after 24 h (mean difference [MD] −1.76; 95% confidence interval [CI] −3.14 to −0.39; P = 0.01), VAS scores after 48 h (MD −1.21; 95% CI −1.51 to −0.90; P < 0.001), distress score after 24 h (MD −1.87; 95% CI −3.01 to −0.73; P = 0.001), and distress score after 48 h (MD −1.87; 95% CI −3.07 to −0.67; P = 0.002). Conclusion The abdominal binder could be an effective, simple, non‐pharmacological option of relieving pain and distress after CD.

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Precautions Related to Midline Sternotomy in Cardiac Surgery: A Review of Mechanical Stress Factors Leading to Sternal Complications

Brocki

Thorup

Andreasen

2010

European Journal of Cardiovascular Nursing

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Effects of a Novel Pneumatic Vest on Postoperative Pain and Lung Function After Coronary Artery Bypass Grafting

Cited by 5 publications

References 9 publications

Instantaneous responses to high-frequency chest wall oscillation in patients with acute pneumonic respiratory failure receiving mechanical ventilation

Instantaneous responses to high-frequency chest wall oscillation in patients with acute pneumonic respiratory failure receiving mechanical ventilation

The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials

Precautions Related to Midline Sternotomy in Cardiac Surgery: A Review of Mechanical Stress Factors Leading to Sternal Complications

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