The Effect of Incentive Spirometry on Postoperative Pulmonary Complications

Overend, Tom J.; Anderson, Catherine M.; Lucy, S. Deborah; Bhatia, Christina; Jonsson, Birgitta; Timmermans, Catherine

doi:10.1378/chest.120.3.971

Cited by 258 publications

(169 citation statements)

References 44 publications

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“…For example, multiple studies of chest physiotherapy suggest little benefit when it is used in isolation, [42][43][44] while the data on incentive spirometry are conflicting. [45][46][47] Inhaled nitric oxide is of high cost and has not been shown to provide improvements in outcome. 48 Thus, in appraising these results, a distinction may be required in parsing the relative benefits of each change in respiratory care delivery, and the reader should consider that analysis of the appropriateness of each procedure in a patient-specific context is beyond the scope of this study.…”

Section: Discussionmentioning

confidence: 99%

Respiratory Therapy Organizational Changes Are Associated With Increased Respiratory Care Utilization

Parker

Liu²,

Harris³

et al. 2013

Respir Care

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There was an increase in SBTs (0.5% vs 73.1%, P < .001), chest physiotherapy (7.4% vs 21.6%, P < .001), BALs (24.0% vs 41.4%, P < .001), and lower respiratory tract cultures (21.5% vs 38.0%, P < .001) in mechanically ventilated patients post-intervention. CONCLUSIONS: A multi-component intervention, including an increase in RT/ patient ratio, improved RT orientation, and establishment of a core staffing model, was associated with increased respiratory resource utilization and evidence-based practice, specifically BALs and SBTs.

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Section: Discussionmentioning

confidence: 99%

Respiratory Therapy Organizational Changes Are Associated With Increased Respiratory Care Utilization

Parker

Liu²,

Harris³

et al. 2013

Respir Care

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“…Sekresyon oluşumuna karşı postüral drenaj, Toraks Cerrahisi Bülteni 2015; 6: 91-6 perküsyon, vibrasyon, öksürme, huffing, zorlu ekspirasyon tekniği, aktif solunum döngüsü, otojenik drenaj gibi bronşial hijyen teknikleri kullanılır (37) ve hastanın insentif spirometre ile çalışması önerilir (33). İnsentif spirometre hasta tarafından bağımsız olarak kullanıla-bilinen, tedaviye aktif olarak katılımı sağlayan, görsel feedback etkisi ile maksimal inspirasyon yapılmasını kolaylaştıran bir alettir (38)(39)(40).…”

Section: Postoperati̇f Dönemde Pulmoner Rehabi̇li̇tasyonunclassified

Pulmonary Rehabilitation in Chest Wall Deformities

Ozyilmaz¹

2015

Toraks Cer Bult

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Chest wall deformities can be divided into 2 main categories: congenital and acquired. Congenital chest wall deformities may occur any time between birth and early adolescence. Acquired chest wall deformities typically follow prior chest surgery or a postoperative diaphragmatic hernia repair. Congenital chest wall deformities fall within 2 main groups: those with either a depression or protrusion of the sternum and those with varying degrees of aplasia or dysplasia. The most common chest wall deformities are pectus excavatum (88%) and pectus carinatum (5%). Surgery intervention is an accepted practice intervention for severe chest wall deformities. Pulmonary rehabilitation could play a important role in prevention of pulmonary complications after surgery. Other than surgical intervention, exercise is a treatment alternative. With an increase in strength and muscle tone by exercise training, the chest wall deformity may be diminished or at least maintained. In addition, the increase in the intensity of training, particularly to the anterior chest wall, may help in building up larger muscle bulk and result in a better cosmetic outlook.Keywords: Chest wall deformities, exercise training, pulmonary rehabilitation ÖzetKonjenital ve sonradan gelişen deformiteler olmak üzere 2 ana gruba ayrılır. Konjenital göğüs duvar deformiteleri doğumdan hemen sonra ya da adolesan dönemin başların-da ortaya çıkarken, sonradan oluşan deformiteler herhangi bir göğüs cerrahisi operasyonu sonrasında ya da postoperatif diyafragmatik herni onarımlarını takiben gelişebilir. Konjenital göğüs duvar anomalileri sternumun depresyonu ya da sternumun protrüzyonu olmak üzere 2 grup altında incelenir. Bu duruma değişik derecelerde plazi ya da displazi eşlik edebilir. En yaygın göğüs duvar deformiteleri pektus ekskavatum (%88) ve pektus karinatum (%5) dur. Şiddetli göğüs duvar deformitelerinde cerrahi müdahaleler kabul edilen tedavi yöntemleridir. Pulmoner rehabilitasyon ameliyat sonrası pulmoner komplikasyonların önlenmesinde önemli bir rol oynar. Egzersiz, cerrahi müdahalelerin dışında alternatif olarak kullanılan bir tedavi yöntemidir. Egzersiz eğitimi ile kas kuvveti ve tonusunun arttırılması ile göğüs duvar deformitelerinin şiddeti azaltılabilir ya da en azından ilerlemesine engel olunabilir. Egzersiz eğitimi ile özellikle anterior göğüs duvarında büyük kas kitlesi oluşturularak iyi bir kozmetik görünüm sağlanabilir.

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“…IS involves deep breathing through a device that provides visual feedback with the aim of promoting sustained maximal inspiratory efforts toward enhancing the total lung capacity 7 . IS is thought to maximize both the accuracy of breathing techniques and patient motivation 7 . It was found to be effective in reducing postoperative complications after upper abdominal surgery 8 9 .…”

Section: Introductionmentioning

confidence: 99%

Efficiency of Incentive Spirometry for Video-Assisted Thoracoscopic Surgery for Esophagectomy

Yamashita

Murakami

Goto

et al. 2012

Showa Univ J Med Sci

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: Transthoracic subtotal esophagectomy for esophageal cancer is a highly invasive procedure, associated with high mortality and morbidity rates. We examined the use of video-assisted thoracoscopic and laparoscopic surgery for esophagectomy VATS-E . Further, incentive spirometry IS is commonly used in perioperative rehabilitation for esophagectomy. We investigated whether pulmonary complications after VATS-E are related to changes in the perioperative IS volumes and whether such changes could be predictive of these complications. This study included 63 patients who underwent VATS-E from June 2008 to December 2009. IS volumes before and after surgery were recorded for all patients. The perioperative IS volumes and clinicopathological factors were correlated with the incidence of postoperative pneumonia and atelectasis. Nine patients 14.5% had postoperative pneumonia, and thirteen 22.2% had atelectasis. Univariate analysis showed an increased risk of atelectasis in patients with diabetes and an increased risk of pneumonia in patients with a long operating time and for whom the lung was adhered to the thoracic wall. The vital capacity VC correlation coef cient was 0.674. Further, the risk of pneumonia was high in patients with 13% less than the minimum IS volume/preoperative VC ratio and 22% with less than the average IS volume/preoperative VC ratio. Multivariate regression models for pneumonia showed the same results regarding the IS volume/VC ratio. The results indicated that IS volumes could be used to predict the incidence of complications after VATS-E, and thereby facilitate early application of interventions to prevent pulmonary complications.

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The Effect of Incentive Spirometry on Postoperative Pulmonary Complications

Cited by 258 publications

References 44 publications

Respiratory Therapy Organizational Changes Are Associated With Increased Respiratory Care Utilization

Respiratory Therapy Organizational Changes Are Associated With Increased Respiratory Care Utilization

Pulmonary Rehabilitation in Chest Wall Deformities

Efficiency of Incentive Spirometry for Video-Assisted Thoracoscopic Surgery for Esophagectomy

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