The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Devecel, Gülşen; Şenturan, Leman

doi:10.26650/fnjn387185

Cited by 3 publications

(6 citation statements)

References 8 publications

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“…In current study, the elderly patients in intervention group had significantly improved oxygen saturation compared to the control group, that in concordance with the results of Gbiri et al (26) , Devecel et al (27) and Svensson-Raskh et al (28) . High saturation results could be seen as yet another benefit and a sign of the success of preoperative instruction.…”

Section: Discussionsupporting

confidence: 92%

Role of Lung Recruitment Maneuvers in Elderly Post-operative Upper Abdominal Surgery

Abd-allah¹,

Ghoniem²,

El-Fattah³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: A significant catastrophic side effect of upper abdominal surgery is postoperative pulmonary complications (PPCs), which raise costs, morbidity, and mortality. Objective:The aim of the present study is to assess how lung recruitment maneuvers (LRMs) affect both the ventilatory functions and frequency of PPCs in geriatric patients. Patients and methods: A total of 80 geriatric patients from New Surgery Hospital in Zagazig University Hospitals for open upper abdomen surgery were recruited. The participants were randomly divided into two groups; 40 patients in the intervention group (preoperative LRMs training) and 40 patients in the control group (conventional perioperative care). Results: When compared to the first postoperative day, the intervention group's forced expiratory volume in one second, forced vital capacity, and oxygen saturation were significantly improved throughout the ventilatory function tests (p ≤0.001). Furthermore, the intervention group's reported lower PPCs incidence compared to the control group (15% vs. 30% on the 3 rd postoperative day and 15% vs.37.5% on the 5 th postoperative day, respectively). Conclusion: By restoring the measured lung volumes, LRMs effectively improve the perioperative management of geriatric patients by preventing PPCs.

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Section: Discussionsupporting

confidence: 92%

Role of Lung Recruitment Maneuvers in Elderly Post-operative Upper Abdominal Surgery

Abd-allah¹,

Ghoniem²,

El-Fattah³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…The characteristics of the included studies by type of intervention, aggregate data from the included studies by type of intervention, RoB assessment, summary of findings, excluded studies, studies that fit the inclusion criteria but had no usable data, and relevant protocols of ongoing or unpublished studies are shown in the online supplemental digital content. We identified eight types of interventions administered in the preoperative period: nutritional (51 studies),30–80 respiratory (30 interventions of 29 studies)81–109 exercise (27 studies),110–136 multimodal (25 studies),100 108 137–159 educational (17 studies),160–176 psychological (16 studies),177–192 smoking and alcohol cessation (7 studies)193–199 and pharmacological (5 studies)200–204 (table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Nutritional interventions were further subdivided into standard oral nutritional supplements (ONS, 7 studies),30–35 69 oral immunonutrition supplements (19 studies)36–47 70–75 80 weight loss interventions (11 studies),48–51 53–57 76 205 oral prebiotics and probiotics (6 studies),58–61 77 78 dietary optimisation of comorbidities (3 studies)62–64 and other (5 studies, generally including administration of nutritional supplements such as fish oils, antioxidants, etc) 65–68 79. Respiratory interventions were further subdivided into IMT (18 studies),81–95 106 108 109 IS (5 studies)90 96–99 and combined respiratory interventions (7 studies, involving combinations of IMT, IS, other respiratory exercises and physical exercises) 100–105 107…”

Section: Resultsmentioning

confidence: 99%

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

et al. 2021

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ObjectiveTo determine the benefits and harms of pre-admission interventions (prehabilitation) on postoperative outcomes in patients undergoing major elective surgery.DesignSystematic review and meta-analysis of randomised controlled trials (RCTs) (published or unpublished). We searched Medline, Embase, CENTRAL, DARE, HTA and NHS EED, The Cochrane Library, CINAHL, PsychINFO and ISI Web of Science (June 2020).SettingSecondary care.ParticipantsPatients (≥18 years) undergoing major elective surgery (curative or palliative).InterventionsAny intervention administered in the preoperative period with the aim of improving postoperative outcomes.Outcomes and measuresPrimary outcomes were 30-day mortality, hospital length of stay (LoS) and postoperative complications. Secondary outcomes included LoS in intensive care unit or high dependency unit, perioperative morbidity, hospital readmission, postoperative pain, heath-related quality of life, outcomes specific to the intervention, intervention-specific adverse events and resource use.Review methodsTwo authors independently extracted data from eligible RCTs and assessed risk of bias and the certainty of evidence using Grading of Recommendations, Assessment, Development and Evaluation. Random-effects meta-analyses were used to pool data across trials.Results178 RCTs including eight types of intervention were included. Inspiratory muscle training (IMT), immunonutrition and multimodal interventions reduced hospital LoS (mean difference vs usual care: −1.81 days, 95% CI −2.31 to −1.31; −2.11 days, 95% CI −3.07 to −1.15; −1.67 days, 95% CI −2.31 to −1.03, respectively). Immunonutrition reduced infective complications (risk ratio (RR) 0.64 95% CI 0.40 to 1.01) and IMT, and exercise reduced postoperative pulmonary complications (RR 0.55, 95% CI 0.38 to 0.80, and RR 0.54, 95% CI 0.39 to 0.75, respectively). Smoking cessation interventions reduced wound infections (RR 0.28, 95% CI 0.12 to 0.64).ConclusionsSome prehabilitation interventions may reduce postoperative LoS and complications but the quality of the evidence was low.PROSPERO registration numberCRD42015019191.

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“…Pneumothorax can occur spontaneously or secondary to surgery. The incidence of pneumothorax is quite high, based on an epidemiological study from 2011-2015 there were 10,500 cases in Germany due to pneumothorax [14].…”

Section: Pneumothoraxmentioning

confidence: 99%

“…Several surgical or medical procedures can lead to intra-or post-surgical pneumothorax. Acupuncture, orthopedic injections, CT scan-guided lung biopsy, bronchoscopy, central venous catheter (CVC) insertion, or thoracocentesis may cause damage to the pleura visceralis and respiratory air to enter the pleural cleft, resulting in a pneumothorax [14].…”

Section: Pneumothoraxmentioning

confidence: 99%

Diagnosis and Treatment of Postoperative Dyspnea: Literature Review

Pramarta,

Wesnawa,

Candrawati

2024

International Journal of Scientific Advances

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Postoperative dyspnea is one of the most common complaints in patients after undergoing surgery. Especially in those who underwent surgery in the thoracic area. The presence of postoperative dyspnea indicates clinical signs of postoperative pulmonary complications. There are several types of diseases that can cause shortness of breath in patients after surgery. Several postoperative lung diseases can cause complaints of dyspnea such as postoperative pleural effusion, atelectasis, pneumothorax, bronchospasm, aspiration pneumonitis, pneumonia, acute respiratory distress syndrome, pulmonary edema, and pulmonary embolism. The pathophysiology of postoperative dyspnea can occur due to changes in homeostasis due to anesthesia and the surgical procedure itself. Clinical symptoms arise due to compensatory efforts of the cardiovascular and respiratory systems. The appearance of dyspnea is the result of an imbalance in the interaction of multiple signals and receptors in the central nervous system, peripheral chemoreceptor receptors, and mechanoreceptors in the upper airway, lungs, and chest wall. In diagnosing the cause of dyspnea, the clinician must ascertain what is the source of the cause of the dyspnea. The management of postoperative dyspnea is carried out by treating the causes of dyspnea.

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The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Cited by 3 publications

References 8 publications

Role of Lung Recruitment Maneuvers in Elderly Post-operative Upper Abdominal Surgery

Role of Lung Recruitment Maneuvers in Elderly Post-operative Upper Abdominal Surgery

Pre-admission interventions (prehabilitation) to improve outcome after major elective surgery: a systematic review and meta-analysis

Diagnosis and Treatment of Postoperative Dyspnea: Literature Review

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