Preoperative Respiratory Physiotherapy in Abdominoplasty Patients

Rodrigues, Maria Amélia; Ferreira, Lydia Masako; Calvi, Eliziane Nitz de Carvalho; Nahas, Fábio Xerfan

doi:10.1093/asj/sjx121

Cited by 10 publications

(7 citation statements)

References 44 publications

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“…There are data to suggest that nurses and nursing students are often responsible for the delivery of preoperative https://www.safpj.co.za Open Access education on breathing exercises to patients before abdominal surgery. 16,17,18 In some cases, physiotherapists are responsible for the delivery of preoperative education to patients undergoing abdominal surgery; 19,20,21 however, in most studies, various members of the multidisciplinary team, including physiotherapists, nurses, physicians, surgeons, dietitians and psychologists, contribute to the content of preoperative education provided because of the wide variety of information required. 7,13,22,23,24,25 The outcome of preoperative education…”

Section: Health Professionals Involved In the Delivery Of Preoperativ...mentioning

confidence: 99%

Preoperative physiotherapy education for patients undergoing colorectal cancer resection

Whelan

Roos

Fourie

et al. 2023

South African Family Practice

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Background: Surgical resection is a common treatment for patients with colorectal cancer. Patients undergoing surgery are at risk of functional deterioration as a response to surgical stress. Furthermore, patients with cancer often present with systemic problems as well as a functional decline. The study aimed to create a framework for preoperative education for patients undergoing colorectal cancer resection.Methods: Five databases were utilised to find intervention-based studies describing the content, mode, setting and timing of delivery of preoperative education for patients undergoing abdominal surgery. Physiotherapists were purposively sampled to participate in a focus group session using a seven-step nominal group technique (NGT) with the goal to reach consensus on the proposed content of a preoperative patient education programme.Results: Seventeen studies were reviewed. Results indicate that the mode and timing of the education provided are heterogenous. Content included in the education programs described were breathing exercises, coughing techniques, verbal advice, physical exercises, surgical information, postoperative pain management, nutritional support, relaxation techniques and information about postoperative complications. Six physiotherapists participated in the focus group discussion. Ideas generated in the focus group were similar to those described in the literature.Conclusion: Results from both the narrative review and the focus group session assisted the authors to develop a framework for the content, timing, setting and mode of delivery of physiotherapy preoperative education for patients undergoing surgical resection for colorectal cancer.Contribution: The framework can be used to inform a physiotherapy preoperative education programme for patients undergoing surgery for colorectal cancer.

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Section: Health Professionals Involved In the Delivery Of Preoperativ...mentioning

confidence: 99%

Preoperative physiotherapy education for patients undergoing colorectal cancer resection

Whelan

Roos

Fourie

et al. 2023

South African Family Practice

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“…al. [76] 2018 Preoperative respiratory physiotherapy in abdominoplasty patients. Not investigating AWR…”

Section: Rodrigues Etmentioning

confidence: 99%

Physical activity recommendations pre and post abdominal wall reconstruction: a scoping review of the evidence

Adams

Bedwani

Massey

et al. 2022

Hernia

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There are no universally agreed guidelines regarding which types of physical activity are safe and/or recommended in the perioperative period for patients undergoing ventral hernia repair or abdominal wall reconstruction (AWR). This study is intended to identify and summarise the literature on this topic. Methods:Database searches of PubMed, CINAHL, Allied & Complementary medicine database, PEDro and Web of Science were performed followed by a snowballing search using two papers identified by the database search and four hand-selected papers of the authors' choosing. Inclusion -cohort studies, randomized controlled trials, prospective or retrospective. Studies concerning complex incisional hernia repairs and AWRs including a "prehabilitation" and/or "rehabilitation" program targeting the abdominal wall muscles in which the interventions were of a physical exercise nature. RoB2 and Robins-I were used to assess risk of bias. Prospero CRD42021236745. No external funding. Data from the included studies were extracted using a table based on the Cochrane Consumers and Communication Review Group's data extraction template. Results:The database search yielded 5,423 records. After screening two titles were selected for inclusion in our study. The snowballing search identified 49 records. After screening one title was selected for inclusion in our study. Three total papers were included -two randomised studies and one cohort study (combined 423 patients). All three studies subjected their patients to varying types of physical activity preoperatively, one study also prescribed these activities postoperatively. The outcomes differed between the studies therefore meta-analysis was impossible -two studies measured hernia recurrence, one measured peak torque. All 4 three studies showed improved outcomes in their study groups compared to controls however significant methodological flaws and confounding factors existed in all three studies. No adverse events were reported. Conclusions:The literature supporting the advice given to patients regarding recommended physical activity levels in the perioperative period for AWR patients is sparse. Further research is urgently required on this subject.

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“…De acordo com Rodrigues et al (2017), após cirurgia abdominal é normal que exista uma diminuição da função ventilatória e aumento da pressão intraabdominal. Neste sentido, os exercícios de RFR são fundamentais para prevenir e/ou minimizar as complicações pós-operatórias.…”

Section: Enquadramento/fundamentação Teóricaunclassified

(Re)educação funcional respiratória pré-operatória em pessoas com patologia colorretal: estudo observacional

Correia

Mendes

Areias

et al. 2022

RIIS

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Enquadramento: a cirurgia colorretal está associada ao risco de morbilidade e mortalidade, relacionando-se com o surgimento de complicações. Os exercícios de reeducação funcional respiratória (RFR) realizados por enfermeiros de reabilitação, tornam-se fundamentais para prevenir/minimizar complicações pós-operatórias. Objetivos: avaliar o impacto da RFR em pessoas com indicação para cirurgia colorretal, nos valores da capacidade vital (CV) e saturação periférica de O2 (SpO2) e descrever as capacidades adquiridas após a aplicação de um programa de RFR pré-operatório. Metodologia: estudo observacional descritivo, com amostra de conveniência de pessoas com patologia colorretal submetidas a um programa de RFR pré-operatória num Centro Hospitalar e Universitário da região centro de Portugal. Resultados: a amostra foi de 78 pessoas. Avaliados parâmetros respiratórios como a CV e SpO2, assim como a avaliação das capacidades adquiridas. A média de sessões de RFR por utente foi de 3,97, obtendo-se uma variação positiva da SpO2 em 46 e variação positiva da CV em 41. À exceção de 3 pessoas, a maioria adquiriu capacidades preconizadas a diferentes níveis. Conclusão: são visíveis ganhos obtidos na preparação pré-operatória das pessoas na função respiratória e nas capacidades para lidarem com a dor. Estes resultados são importantes para a prevenção de complicações respiratórias no período pós-operatório.

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Preoperative Respiratory Physiotherapy in Abdominoplasty Patients

Cited by 10 publications

References 44 publications

Preoperative physiotherapy education for patients undergoing colorectal cancer resection

Preoperative physiotherapy education for patients undergoing colorectal cancer resection

Physical activity recommendations pre and post abdominal wall reconstruction: a scoping review of the evidence

(Re)educação funcional respiratória pré-operatória em pessoas com patologia colorretal: estudo observacional

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