Prevention of postoperative pulmonary complications through respiratory rehabilitation: A controlled clinical study

Chumillas, Soledad; Ponce, JoséL.; Delgado, Fernando; Viciano, Vicente Masip; Mateu, Miguel

doi:10.1016/s0003-9993(98)90198-8

Cited by 144 publications

(85 citation statements)

References 20 publications

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“…26 Nonetheless, these same findings are in line with the notion that not only analgesic treatment but also physiotherapy for abdominal and thoracic surgery can reduce the hospital stay and improve recovery. 27 In the present study, the oxygen-hemoglobin saturation increased after physiotherapy.…”

Section: Resultssupporting

confidence: 56%

Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial

et al. 2008

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CONTEXT AND OBJECTIVE: Abdominal surgical procedures increase pulmonary complication risks. The aim of this study was to evaluate the effectiveness of chest physiotherapy during the immediate postoperative period among patients undergoing elective upper abdominal surgery. DESIGN AND SETTING:This randomized clinical trial was performed in the post-anesthesia care unit of a public university hospital.METHODS: Thirty-one adults were randomly assigned to control (n = 16) and chest physiotherapy (n = 15) groups. Spirometry, pulse oximetry and anamneses were performed preoperatively and on the second postoperative day. A visual pain scale was applied on the second postoperative day, before and after chest physiotherapy. The chest physiotherapy group received treatment at the post-anesthesia care unit, while the controls did not. Surgery duration, length of hospital stay and postoperative pulmonary complications were gathered from patients' medical records. RESULTS:The control and chest physiotherapy groups presented decreased spirometry values after surgery but without any difference between them (forced vital capacity from 83.5 ± 17.1% to 62.7 ± 16.9% and from 95.7 ± 18.9% to 79.0 ± 26.9%, respectively). In contrast, the chest physiotherapy group presented improved oxygen-hemoglobin saturation after chest physiotherapy during the immediate postoperative period (p < 0.03) that did not last until the second postoperative day. The medical record data were similar between groups.

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Section: Resultssupporting

confidence: 56%

Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial

et al. 2008

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“…In the present study, FEV1.0% was found to be the most effective predictor of postoperative respiratory complications. In several randomized controlled trials, the efficacy of preoperative rehabilitation to improve the activity of the respiratory muscles and thoracic compliance has been investigated (17,18). Chumillas et al reported the result of a single blind randomized clinical trial of 81 patients following upper abdominal surgery and showed that the incidence of postoperative pulmonary complications was 7.5% in the rehabilitation group and 19.5% in the control group (18).…”

Section: Discussionmentioning

confidence: 99%

“…In several randomized controlled trials, the efficacy of preoperative rehabilitation to improve the activity of the respiratory muscles and thoracic compliance has been investigated (17,18). Chumillas et al reported the result of a single blind randomized clinical trial of 81 patients following upper abdominal surgery and showed that the incidence of postoperative pulmonary complications was 7.5% in the rehabilitation group and 19.5% in the control group (18). Recently, the introduction of enhanced recovery after surgery (ERAS) protocols has revolutionized preoperative and postoperative care (19,20).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postoperative respiratory complications following esophageal cancer resection

et al. 2012

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Abstract. The development of surgical and postoperative management techniques has improved the treatment outcomes of esophageal cancer resection. However, respiratory morbidity is still the most frequent complication after esophagectomy. The objective of the present study was to identify risk factors for respiratory complications following resection for esophageal cancer. This study included 96 patients with esophageal cancer who had undergone esophagectomy with lymph node dissection. The patients were divided into 2 groups according to the presence (20 patients, 17 had pneumonia and 3 had acute respiratory distress syndrome) or absence (76 patients) of postoperative respiratory complications (PRC). The two groups were compared with respect to their preoperative clinical variables, such as age, body mass index, smoking history, serum albumin, serum C-reactive protein (CRP), number of lymphocytes, %VC, FEV1.0% and FEV1.0. Furthermore, multiple logistic regression analyses were used to estimate relative risk factors for respiratory complications. Results of the univariate analysis showed that smoking history (+/-, patients with PRC, 19/1 and without PRC, 53/23), serum CRP (≥1.0 mg/ dl/<1.0 mg/dl, patients with PRC, 6/14 and without PRC, 6/70) and FEV1.0% (≥60%/<60%, patients with PRC, 16/4 and without PRC, 73/3) were significantly different between the two groups. Multiple logistic regression analysis showed that FEV1.0% was the strongest predictor of PRC. FEV1.0%, serum CRP and smoking history are reliable predictors of the risk of respiratory complications following esophageal cancer resection. For patients with these factors, perioperative management for the prevention of postoperative respiratory complications should be considered.

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“…The occurrence of PPCs may also be linked to factors related to anesthesia, such as the type and the time of anesthesia and the agent used [1,7], as well as to surgical factors related to the site of the incision, surgical type and intra-operative mechanical ventilation [1,7,8]. In heart surgeries there may be a necessity to employ cardiopulmonary bypass (CPB); responsible for the development of systemic and pulmonary inflammatory responses with the latter leading to mechanical respiratory dysfunction [9].…”

Section: Introductionmentioning

confidence: 99%

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Ambrozin¹,

Catâneo²

2005

Rev Bras Cir Cardiovasc

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Prevention of postoperative pulmonary complications through respiratory rehabilitation: A controlled clinical study

Cited by 144 publications

References 20 publications

Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial

Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial

Risk factors for postoperative respiratory complications following esophageal cancer resection

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

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