Mask physiotherapy in patients after heart surgery: A controlled study

Abstract

We did not find any significant difference between the three groups; however, a tendency to decreased risk of having post-operative complications was observed in the groups having positive expiratory pressure (PEP) and inspiratory resistance-positive expiratory pressure (IR-PEP).

The Influences of Positive End Expiratory Pressure (Peep) Associated With Physiotherapy Intervention in Phase I Cardiac Rehabilitation

“…13,18 Additionally, the application of PEEP has been shown to be effective in increasing the return to pulmonary volumes and the resolution of atelectasis. 17 Differing from findings in our study, Larsen et al , 15 found no difference between the group treated with PPI plus EPAP and the group treated with PPI alone. However, a tendency for the reduction of complications was observed in the group that received PEEP.…”

“…In a study by Larsen et al, 15 the tendency for reduced complications was observed in a group that was administered PPI associated with PEEP, when compared to a group treated only with PPI. However, in another study, the prophylactic application of PEEP did not present benefits when compared to PPI in patients who had undergone thoracic surgery.…”

“…7,8 In spite of modernization of procedures, cardiac surgery can damage pulmonary function, with decreases of respiratory muscle strength and spirometric measurements occurring postoperatively, in addition to the occurrence of atelectasis in more than 90% of the patients. 9 Reduction in oxygenation, 10 pulmonary function, 11,12,13,14 and respiratory muscle strength, 4,5,9,12 as well as radiological changes such as atelectasis 8,12,15 have been cited as common alterations in postoperative cardiac surgery. The reduction of respiratory muscle strength, resulting from direct or indirect lesion of respiratory muscles during surgery and the secondary diaphragmatic dysfunction due to phrenic nerve lesion, has also been related to reduced pulmonary function tests, worsened gas exchange, and increase in the rate of pulmonary complications.…”

“…The reduction of respiratory muscle strength, resulting from direct or indirect lesion of respiratory muscles during surgery and the secondary diaphragmatic dysfunction due to phrenic nerve lesion, has also been related to reduced pulmonary function tests, worsened gas exchange, and increase in the rate of pulmonary complications. 4,5,9,12 Considering this, some authors 8,[15][16][17][18][19] have investigated the application of different physiotherapeutic treatment techniques in an attempt to minimize the alterations in the respiratory and cardiovascular system and thereby reduce the incidence of complications.…”

Prevention of Postoperative Atelectasis in the Post-Cardiac Surgical Patient with Poor Left Ventricular Function: A Study of the Efficacy of Bi-Level Positive Airway Pressure

“…A radiologist who was blinded to the groups reported CXR. Radiological atelectasis score was defined according to Richter et al [13]: 0-Clear lung field, 1-Plate atelectasis or slight infiltration, 2-Partial atelectasis, 3-Lobar atelectasis and 4-Bilateral lobar atelectasis. We also noted in-hospital mortality, ICU stay, total hospital stay, development of atelectasis and pneumonia during hospital stay.…”