Keywords
incentive spirometry
rehabilitation nursing
review
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Abstract
Context: Laparotomy is a surgery involving an incision in the abdominal wall to access the abdominal cavity. There is controversial data regarding the benefits of the implementation of early respiratory exercises in the prevention of pulmonary complications after laparotomy surgery.
Objective: To examine the evidence about the effect of incentive spirometry in reducing respiratory complications in laparotomy's postoperative patients.
Methodology: A systematic review, following the Joanna Briggs Institute methodology. Multiple databases were searched: CINAHL Plus with Full Text, PubMed and Scopus, as well as gray literature for studies comparing adult patients submitted to laparotomy surgery with incentive spirometry prophylaxis in the postoperative versus adult patients submitted to abdominal surgery with no postoperative respiratory exercises and also Adult patients submitted to laparotomy abdominal surgery with incentive spirometry prophylaxis postoperative versus Adult patients submitted to abdominal surgery with any other type of postoperative respiratory exercises.
Results: Of the 160 studies retrieved, 1 randomized prospective trial was included in this review. This study states that there’s no significant difference between the use of incentive spirometry and positive intermittent pressure.
Conclusion: Although the efficacy of incentive spirometry was demonstrated, further research is needed to explore the incentive spirometry among patients submitted to abdominal surgery.
References
Bacelar S, Alves E, Aragão-Costa W, Tubino P. Questões de linguagem médica. Rev do Colégio Bras Cir ·. 2009;36(1):96–8.
Tazima M de FGS, Vicente YAMV de A, Moriya T. Laparotomia. Med (Ribeirao Preto Online). 2011 Mar 30;44(1):33.
Grams ST, Ono LM, Noronha MA, Schivinski CIS, Paulin E. Breathing exercises in upper abdominal surgery: a systematic review and meta-analysis. Rev Bras Fisioter. 2012;16(5):345–53.
Fonseca AS. Influência da cirurgia abdominal na função pulmonar e capacidade de tosse. Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto; 2011.
Smith PR, Baig MA, Brito V, Bader F, Bergman MI, Alfonso A. Postoperative Pulmonary Complications after Laparotomy. Respiration. 2010;80(4):269–74.
Overend TJ, Anderson CM, Lucy SD, Bhatia C, Jonsson BI, Timmermans C. The Effect of Incentive Spirometry on Postoperative Pulmonary Complications. Chest. 2001 Sep;120(3):971–8.
Agostini P, Singh S. Incentive spirometry following thoracic surgery: what should we be doing? Physiotherapy. 2009 Jun;95(2):76–82.
Bartlett RH. Respiratory Maneuvers to Prevent Postoperative Pulmonary Complications. JAMA. 1973 May 14;224(7):1017.
Pasquina P, Tramér MR, Granier J-M, Walder B. Respiratory Physiotherapy To Prevent Pulmonary Complications After Abdominal Surgery. Chest. 2006 Dec;130(6):1887–99.
Lawrence VA, Cornell JE, Smetana GW. Strategies To Reduce Postoperative Pulmonary Complications after Noncardiothoracic Surgery: Systematic Review for the American College of Physicians. Ann Intern Med. 2006 Apr 18;144(8):596.
Institute TJB. Joanna Briggs Institute Reviewers’ Manual. Adelaide, Australia; 2014. 194 p.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med [Internet]. 2009 Jul 21 [cited 2017 Jan 19];6(7):e1000097. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19621072
The Joanna Briggs Institute. JBI Critical Appraisal Checklist for Randomized Controlled Trials. 2017.
Fernandes SC da S, Santos RS dos, Giovanetti EA, Taniguchi C, Silva CS de M, Eid RAC, et al. Impact of respiratory therapy in vital capacity and functionality of patients undergoing abdominal surgery. Einstein (São Paulo). 2016 Jun;14(2):202–7.
American Thoracic Society/European Respiratory Society. ATS/ERS Statement on Respiratory Muscle Testing. Am J Respir Crit Care Med. 2002 Aug 15;166(4):518–624.
Manzano RM, Carvalho CRF de, Saraiva-Romanholo BM, Vieira JE. Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial. Sao Paulo Med J. 2008 Sep;126(5):269–73.
Dias C, Plácido T, Ferreira M, Guimarães F, Menezes S. Inspirometria de incentivo e breath stacking: repercussões sobre a capacidade inspiratória em indivíduos submetidos à cirurgia abdominal. Rev Bras Fisioter. 2008 Apr;12(2).
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