Incentive spirometry in major surgeries: a systematic review

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1. Verfasser: Celso R. F. Carvalho
Format: Artículo científico
Sprache:en
Veröffentlicht: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2011
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author Celso R. F. Carvalho
author_facet Celso R. F. Carvalho
contents Incentive spirometry in major surgeries: a systematic review Celso R. F. Carvalho Denise M. Paisani Adriana C. Lunardi Salud surgery physical therapy postoperative care breathing exercise Incentive spirometry OBJECTIVE: To conduct a systematic review to evaluate the evidence of the use of incentive spirometry (IS) for the prevention of postoperative pulmonary complications and for the recovery of pulmonary function in patients undergoing abdominal, cardiac and thoracic surgeries. METHODS: Searches were performed in the following databases: Medline, Embase, Web of Science, PEDro and Scopus to select randomized controlled trials which the IS was used in pre- and/or post-operative in order to prevent postoperative pulmonary complications and/or recover lung function after abdominal, cardiac and thoracic surgery. Two reviewers independently assessed all studies. In addition, the studies quality was assessed using the PEDro scale. RESULTS: Thirty studies were included (14 abdominal, 13 cardiac and 3 thoracic surgery; n=3,370 patients). In the analysis of the methodological quality, studies achieved a PEDro average score of 5.6, 4.7 and 4.8 points in abdominal, cardiac and thoracic surgeries, respectively. Five studies (3 abdominal, 1 cardiac and 1 thoracic surgery) compared the effect of the IS with control group (no intervention) and no difference was detected in the evaluated outcomes. CONCLUSION: There was no evidence to support the use of incentive spirometry in the management of surgical patients. Despite this, the use of incentive spirometry remains widely used without standardization in clinical practice. 2011 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235019855010 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.5 Vol.15
format Artículo científico
id redalyc_235019855010
institution Redalyc
language en
publishDate 2011
publisher Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
spellingShingle Incentive spirometry in major surgeries: a systematic review
Celso R. F. Carvalho
Salud
surgery
physical therapy
postoperative care
breathing exercise
Incentive spirometry
Incentive spirometry in major surgeries: a systematic review Celso R. F. Carvalho Denise M. Paisani Adriana C. Lunardi Salud surgery physical therapy postoperative care breathing exercise Incentive spirometry OBJECTIVE: To conduct a systematic review to evaluate the evidence of the use of incentive spirometry (IS) for the prevention of postoperative pulmonary complications and for the recovery of pulmonary function in patients undergoing abdominal, cardiac and thoracic surgeries. METHODS: Searches were performed in the following databases: Medline, Embase, Web of Science, PEDro and Scopus to select randomized controlled trials which the IS was used in pre- and/or post-operative in order to prevent postoperative pulmonary complications and/or recover lung function after abdominal, cardiac and thoracic surgery. Two reviewers independently assessed all studies. In addition, the studies quality was assessed using the PEDro scale. RESULTS: Thirty studies were included (14 abdominal, 13 cardiac and 3 thoracic surgery; n=3,370 patients). In the analysis of the methodological quality, studies achieved a PEDro average score of 5.6, 4.7 and 4.8 points in abdominal, cardiac and thoracic surgeries, respectively. Five studies (3 abdominal, 1 cardiac and 1 thoracic surgery) compared the effect of the IS with control group (no intervention) and no difference was detected in the evaluated outcomes. CONCLUSION: There was no evidence to support the use of incentive spirometry in the management of surgical patients. Despite this, the use of incentive spirometry remains widely used without standardization in clinical practice. 2011 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235019855010 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.5 Vol.15
title Incentive spirometry in major surgeries: a systematic review
topic Salud
surgery
physical therapy
postoperative care
breathing exercise
Incentive spirometry
url https://www.redalyc.org/articulo.oa?id=235019855010