Peri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis

Beningfield, A; Jones, Anne

doi:10.1016/j.physio.2017.08.011

Cited by 7 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ultrasonographic assessment of the respiratory tract, as in accordance with the author's protocol, was performed every day by the same investigator (W. M) at patient's bedside using the GE VIVID 3 ultrasound system (GE Medical Systems, Waukesha, WI, USA) with a sector convex transducer (2.5 to 7 MHz) and a linear probe (3)(4)(5)(6)(7)(8)(9)(10)(11)(12), throughout the stay in the intensive care unit. Ultrasonography was performed in a supine position due to patients' condition in the early postoperative period.…”

Section: Methodsmentioning

confidence: 99%

“…Despite a number of therapeutic concepts, there are no effective methods for setting therapeutic goals or tools for measurable assessment of treatment outcomes in respiratory physiotherapy after pediatric cardiac surgery (5) . Currently, standard chest radiography (X-ray) is the basic source of information about the location and severity of pulmonary pathology for a physiotherapist.…”

Section: Marcin Myszkowskimentioning

confidence: 99%

See 1 more Smart Citation

The usefulness of respiratory ultrasound assessment for modifying the physiotherapeutic algorithm in children after congenital heart defect surgerie

Myszkowski

2019

J Ultrason

View full text Add to dashboard Cite

BackgroundThe aim of the study was to assess the effectiveness and the possible use of diagnostic transthoracic ultrasound of the respiratory tract to qualify patients for therapy and to monitor the effectiveness of physiotherapy in children after cardiac surgeries.Materials and methodsA total of 103 patients aged between 1 and 12 months who underwent a series of congenital heart surgeries using cardiopulmonary bypass were qualified for the prospective analysis. Point-of-care respiratory ultrasound imaging was performed according to a tailored protocol during the patient’s stay in the intensive care unit. In order to evaluate the method, the obtained findings were subject to comparative analysis against the available radiographic findings with a division into sectors.ResultsThe comparative analysis of ultrasonographic and radiographic findings with a division into sectors showed the highest concordance rate (89.6%) for S1L (the apex of the left lung) and the lowest concordance rate (57.0%) for S2L (pericardial region). The highest discordance rate, i.e. when a lesion was detected in radiography (X-ray = 1), but was not confirmed by ultrasound (US = 0), was reported for sectors S1P (right lung apex) – 26.1%, and S2L – 40.0%, whereas the lowest discordance rate was reported for S1L – 7.0%. The highest discordance rate, i.e. when a lesion was shown in ultrasound (US = 1), but was not confirmed by radiography (X-ray = 0) was reported for S3P (the base of the right lung) and S3L (base of the right lung) – 28.3% and 26.1%, respectively.ConclusionsThe author’s protocol for ultrasonographic assessment of the respiratory tract is an optimal tool for determining therapeutic goals, as well as for the assessment of the efficacy of pulmonary physiotherapy. The diagnostic value of ultrasonographic assessment of the respiratory tract and standard radiography in the study group depends on the location of the investigated lung segment.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Marcin Myszkowskimentioning

confidence: 99%

The usefulness of respiratory ultrasound assessment for modifying the physiotherapeutic algorithm in children after congenital heart defect surgerie

Myszkowski

2019

J Ultrason

View full text Add to dashboard Cite

show abstract

“…3. Как видно из представленных данных, при проведении функциональных проб на прикроватном спирографе (в основном, в первые двое суток послеоперационного периода) возникали различного рода жалобы (суммарно 18 событий у 8 пациентов, что составило 16%), которые привели к невозможности дальнейшего выполнения спирографии, в то время как использование побудительного спирометра у этих же пациентов подобных ощущений не вызывало [27,28].…”

Section: результаты и обсуждениеunclassified

Comparing the Inspiratory Capacity Measurements Obtained by Incentive Spirometry and Ultrasonic Spirography in the Early Postoperative Period in Cardiac Surgery Patients

Еременко

Zyulyaeva

Ryabova

et al. 2023

Obŝaâ reanimatologiâ

View full text Add to dashboard Cite

Incentive spirometry is one of the most common methods used for respiratory rehabilitation in the early period after cardiac surgery. Inspiratory capacity values, obtained by a patient using spirometer, are not reliably trusted.Objectives. To compare volumetric parameters measured with incentive spirometer and results obtained with bedside ultrasound-based spirometer to assure the feasibility of the use of incentive spirometry to assess the inspiratory capacity and effectiveness of postoperative respiratory rehabilitation.Materials and methods. The study included 50 patients after elective cardiac surgery. Pulmonary rehabilitation involved the use of various respiratory therapy methods. Spirography was performed before and after each session. Both approaches were used simultaneously to obtain the spirometry maximum inspiratory capacity (SMIC) with a bedside ultrasonic spirography and maximum inspiratory capacity (MIC) index using an incentive spirometer. Patient’s discomfort and adverse events during the procedures were recorded.Results. The absolute values of the MIC measured before and after each session by the two methods were dissimilar, however, the average increment values (Δ) did not show statistically significant differences. The correlation analysis revealed a strong positive statistically significant relationship between Δ SMIC and Δ MIC (r = 0.74 before the session, r = 0.79 after the session, r = 0.77 across the whole data set, p<0.01), also consistent with the Bland-Altman analysis, evidencing that more than 95% of all values fell within ± 1.96 SD of the mean difference. The inspiratory spirometry method showed good diagnostic accuracy (sensitivity 87%, specificity 85%, area under the curve (AUC) 0.8 (95% CI: [0.76;0.83]), p<0.001). Refusals of procedure were more often documented with ultrasonic spirography.Conclusion. The increment in the inspiratory capacity index measured with incentive spirometer shows good agreement with ultrasonic spirography measurements. Therefore, incentive spirometry can be reliably used to assess the effectiveness of respiratory rehabilitation interventions in cardiac surgery patients during early postoperative period.

show abstract

“…Nevertheless, none conducted meta-analysis on the results of each mentioned intervention. The remaining studies presented the results via narrative synthesis (Bredemeyer & Foster, 2012;Ferguson, 2017;Beningfield & Jones, 2018;Kneale et al, 2019;Zhang et al, 2021).…”

Section: Study Characteristicsmentioning

confidence: 99%

Strategy nursing in children with compromised ventilation: Umbrella review

Reis,

Gaspar,

Paiva

et al. 2023

Journal of Pediatric Nursing

View full text Add to dashboard Cite

Peri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis

Cited by 7 publications

References 24 publications

The usefulness of respiratory ultrasound assessment for modifying the physiotherapeutic algorithm in children after congenital heart defect surgerie

The usefulness of respiratory ultrasound assessment for modifying the physiotherapeutic algorithm in children after congenital heart defect surgerie

Comparing the Inspiratory Capacity Measurements Obtained by Incentive Spirometry and Ultrasonic Spirography in the Early Postoperative Period in Cardiac Surgery Patients

Strategy nursing in children with compromised ventilation: Umbrella review

Contact Info

Product

Resources

About