In adults undergoing cardiac and major abdominal surgery, does preoperative inspiratory muscle training help to prevent postoperative pulmonary complications?

2020 ◽  
Author(s):  
Sera Tort ◽  
Deepak Singh-Ranger
Keyword(s):  
Abdominal Surgery ◽  
Pulmonary Complications ◽  
Inspiratory Muscle ◽  
Major Abdominal Surgery ◽  
Inspiratory Muscle Training ◽  
Postoperative Pulmonary Complications ◽  
Muscle Training

The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial

2019 ◽  
Vol 33 (5) ◽  
pp. 913-922 ◽  
Author(s):  
Xiaoyu Chen ◽  
Lin Hou ◽  
Yuanyuan Zhang ◽  
Xiangjing Liu ◽  
Bohan Shao ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Intervention Group ◽  
Pulmonary Complications ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Control Group ◽  
Postoperative Pulmonary Complications ◽  
Muscle Training ◽  
Randomized Controlled ◽  
Inspiratory Muscle Strength

Objective: To determine the prophylactic efficacy of short-term intensive preoperative inspiratory muscle training on the incidence of postoperative pulmonary complications in patients scheduled for cardiac surgery. Design: Single-blind, randomized controlled pilot study. Setting: TEDA International Cardiovascular Hospital, China. Subjects: In total, 197 subjects aged ⩾50 years scheduled for cardiac surgery were selected. Intervention: The intervention group ( n = 98) received five days of preoperative inspiratory muscle training on top of the usual care received by the patients in the control group ( n = 99). Main measures: The primary outcome variable was the occurrence of postoperative pulmonary complications. The secondary outcome variables were inspiratory muscle strength, lung function and length of hospitalization. Results: After cardiac surgery, a total of 10 (10.2%) of the 98 patients in the intervention group and 27 (27.3%) of 99 patients in the control group had postoperative pulmonary complications (risk ratio, 0.23; 95% confidence interval (CI), 0.09–0.58, P = 0.002). The study revealed that, compared with the control group, the intervention group had a significant increase in inspiratory muscle strength (by 10.48 cm H2O, P < 0.001), forced expiratory volume in the first second of expiration (FEV1) %predicted (by 3.75%, P = 0.030), forced vital capacity (FVC) %predicted (by 4.15%, P = 0.008) and maximal voluntary ventilation (MVV) %predicted (by 6.44%, P = 0.034). Length of hospital stay was 7.51 (2.83) days in the intervention group and 9.38 (3.10) days in the control group ( P = 0.039). Conclusion: A five-day intensive pattern of preoperative inspiratory muscle training reduced the incidence of postoperative pulmonary complications and duration of postoperative hospitalization in patients undergoing cardiac surgery.

scholarly journals Preoperative Intensive Inspiratory Muscle Training to Prevent Postoperative Pulmonary Complications in High-Risk Patients Undergoing CABG Surgery

JAMA ◽  
2006 ◽  
Vol 296 (15) ◽  
pp. 1851 ◽  
Author(s):  
Erik H. J. Hulzebos ◽  
Paul J. M. Helders ◽  
Nine J. Favié ◽  
Rob A. De Bie ◽  
Aart Brutel de la Riviere ◽  
...  
Keyword(s):  
High Risk ◽  
Pulmonary Complications ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Postoperative Pulmonary Complications ◽  
Muscle Training ◽  
Cabg Surgery ◽  
High Risk Patients ◽  
Risk Patients
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