Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery

Abstract

Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery.

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

“…Inspiratory muscle training is aimed at increasing inspiratory muscle strength and endurance by applying a resistive load to the inspiratory muscles. A recent Cochrane systematic review on inspiratory muscle training demonstrated that application of inspiratory muscle training reduced length of stay, reduced postoperative pulmonary complications, and reduced basal atelectasis [20].…”

Efeito do treinamento muscular inspiratório em pacientes submetidos à cirurgia bariátrica: uma revisão sistemática

“…IMT is an effective intervention that attenuates inspiratory muscle weakness 24 and it is associated with a reduction of postoperative complications 28 . In this sense, we believe that IMT associated with the standard physical therapy is more effective than isolated standard physical therapy.…”

“…Randomized controlled trials have shown the effects of IMT on the inspiratory muscle strength and endurance in several diseases and demonstrated that this technique provides improvement in the peak oxygen consumption, quality of life and dyspnea 24,25 , and also reduces postoperative atelectasis, pneumonia and length of hospital stay 28 . Moreover, the use of IMT in patients undergoing bariatric surgery has been investigated in recent studies 18,26,27 , but the real effect of IMT in this population profile is still inconclusive.…”

Preoperative Respiratory Physiotherapy and Postoperative Pulmonary Complications in CABG

“…This training may help reduce breathing complications after surgery and may lead to improved patient care and overall health care cost savings for the public health system. Although the available evidence is insufficient in terms of the quality and size of trials, we can conclude that training of breathing muscles before surgery prevents lung complications after surgery [3]. Cardiac surgery is a highly complex procedure which generates worsening of lung function and decreased inspiratory muscle strength.…”