Comparison of pre‐ and postoperative pulmonary function in obese and non‐obese female patients undergoing coronary artery bypass graft surgery

Akdur, Hülya; YIðIT, Zerrin; Sözen, Ahmet Bilge; ÇAðATAY, Tülin; Güven, Özen

doi:10.1111/j.1440-1843.2006.00944.x

Cited by 13 publications

(10 citation statements)

References 29 publications

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“…Obesity, even if it is mild, decreases lung volumes postoperatively [23, 24], and one reason for the lower IC is probably the flattened shape of the diaphragm and the mechanical pressure created by abdominal adiposity, which reduce the total space for the lungs. Atelectasis is more common in obese patients than in normal weight patients, and the time spent in the ICU and total hospital stay are longer for obese patients [23]. Thus, patients with high BMI are at increased risk of impaired pulmonary volumes after surgery.…”

Section: Discussionmentioning

confidence: 99%

Lung Function before and Two Days after Open-Heart Surgery

Urell

Westerdahl

Hedenström

et al. 2012

Critical Care Research and Practice

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Reduced lung volumes and atelectasis are common after open-heart surgery, and pronounced restrictive lung volume impairment has been found. The aim of this study was to investigate factors influencing lung volumes on the second postoperative day. Open-heart surgery patients (n = 107, 68 yrs, 80% male) performed spirometry both before surgery and on the second postoperative day. The factors influencing postoperative lung volumes and decrease in lung volumes were investigated with univariate and multivariate analyses. Associations between pain (measured by numeric rating scale) and decrease in postoperative lung volumes were calculated with Spearman rank correlation test. Lung volumes decreased by 50% and were less than 40% of the predictive values postoperatively. Patients with BMI >25 had lower postoperative inspiratory capacity (IC) (33 ± 14% pred.) than normal-weight patients (39 ± 15% pred.), (P = 0.04). More pain during mobilisation was associated with higher decreases in postoperative lung volumes (VC: r = 0.33, P = 0.001; FEV1: r = 0.35, P ≤ 0.0001; IC: r = 0.25, P = 0.01). Patients with high BMI are a risk group for decreased postoperative lung volumes and should therefore receive extra attention during postoperative care. As pain is related to a larger decrease in postoperative lung volumes, optimal pain relief for the patients should be identified.

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Section: Discussionmentioning

confidence: 99%

Lung Function before and Two Days after Open-Heart Surgery

Urell

Westerdahl

Hedenström

et al. 2012

Critical Care Research and Practice

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“…, productive cough with purulent sputum, presence of pulmonary infiltration on chest X-ray examination, and increased leukocyte count), atelectasis with clinical implications (evidence of pulmonary atelectasis in the chest X-ray associated with respiratory discomfort), and acute respiratory failure (acute inability of the lungs to promote gas exchange, demanding the used of mechanical ventilation) [14,15].…”

Section: Methodsmentioning

confidence: 99%

Silicone-Ring Roux-en-Y Gastric Bypass in the Treatment of Obesity: Effects of Laparoscopic Versus Laparotomic Surgery on Respiration

Barbalho-Moulim¹,

Miguel²,

Pazzianotto-Forti³

et al. 2009

OBES SURG

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“…Akdur i wsp. wykazali jedynie nieznaczny spadek wyników spirometrii po 40 dniach od operacji do badań przedoperacyjnych [34]. W badaniach własnych, wykonanych po 25-30 dniach, wartości FVC i FEV1,0 również nie odzyskały poziomu wyjściowego, natomiast średnie wartości wskaźnika Tiffeneau, PEF i MEF przekraczały wartości wyjściowe.…”

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Efficacy of inpatient phase II cardiac rehabilitation in patients undergoing coronary artery bypass grafting

Szylińska

2019

Pomeranian Journal of Life Sciences

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Introduction: Cardiac rehabilitation is a complex process that involves improving patient mobility by using endurance training and education on healthy attitudes related to diet and lifestyle. The aim of this study was to compare spirometry results to assess the efficacy of inpatient and at-home post-operative phase II cardiac rehabilitation following coronary artery bypass grafting with extra-corporeal circulation. Materials and methods: A prospective study was carried out on 104 patients awaiting coronary artery bypass grafting at the Department of Cardiac Surgery, Pomeranian Medical University in Szczecin. Following surgery, the patients were randomized into study and control groups, each consisting of 52 people. The study group underwent inpatient phase II cardiac rehabilitation at the Department of Cardiac Rehabilitation for the Clinic of Cardiac Surgery. The control group performed the same exercises in the II phase cardiac rehabilitation at home, according to the program obtained at the hospital. The efficacy of both the inpatient and at-home rehabilitation were determined based * Zwięzła wersja rozprawy doktorskiej przyjętej przez Radę Wydziału Nauk o Zdrowiu Pomorskiego Uniwersytetu Medycznego w Szczecinie. Promotor: dr hab. n. med. Mariusz Listewnik. Oryginał obejmuje: 136 stron, 50 tabel, 20 rycin i 202 pozycje piśmiennictwa.

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Comparison of pre‐ and postoperative pulmonary function in obese and non‐obese female patients undergoing coronary artery bypass graft surgery

Abstract: Obesity has a detrimental effect on pulmonary function, exercise capacity, blood gas measurements and complications rates in postoperative period following CABG surgery.

Cited by 13 publications

References 29 publications

Lung Function before and Two Days after Open-Heart Surgery

Lung Function before and Two Days after Open-Heart Surgery

Silicone-Ring Roux-en-Y Gastric Bypass in the Treatment of Obesity: Effects of Laparoscopic Versus Laparotomic Surgery on Respiration

Efficacy of inpatient phase II cardiac rehabilitation in patients undergoing coronary artery bypass grafting

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