The Effect of Abdominal Binders on Postoperative Pulmonary Function

2009 ◽  
Vol 75 (2) ◽  
pp. 169-171 ◽  
Author(s):  
Christopher M. Larson ◽  
Erick R. Ratzer ◽  
Deborah Davis-merritt ◽  
Jeffrey R. Clark
Keyword(s):  
Length Of Stay ◽  
Pulmonary Function ◽  
Pain Control ◽  
Vital Capacity ◽  
Pulmonary Function Tests ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Wound Complications ◽  
Postoperative Pulmonary Function ◽  
Function Tests

Abdominal binders are ordered by some surgeons postoperatively for patient comfort and to prevent wound complications. There has been some question as to the compressive effect that an abdominal binder has on pulmonary function. We prospectively randomized 54 patients undergoing a midline laparotomy incision to two groups: a “binder” group and a “no binder” group. Preoperative pulmonary function tests (vital capacity and incentive spirometry) were measured. Postoperatively, pulmonary function tests, pulse oximetry, oxygen requirement, pulmonary and wound complications, pain control, time to ambulation, and hospital length of stay were examined. Vital capacity as a per cent of preoperative values on postoperative Day 1 for the binder and nonbinder groups were 64.7 and 54.6 per cent, respectively, but this was not statistically significant. Average level of pain using the visual analog pain scale on postoperative Days 1 through 3 in the binder versus nonbinder groups was 4 versus 8, 3 vs 6, and 3 versus 7, respectively. Time to ambulation was 18.6 hours in the binder group and 16.7 hours in the nonbinder group. Hospital length of stay in the binder and nonbinder groups was 3.9 days and 3.7 days, respectively. We conclude that abdominal binders in our patients with midline abdominal incisions had no significant effect on postoperative pulmonary function, but seemed to help with pain control.

scholarly journals Effects of exercise on pulmonary function tests: A comparative study between athletes and non-athletes in Nepalese settings

2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
N B Mahotra ◽  
T M Amatya ◽  
B SJB Rana ◽  
D Banstola
Keyword(s):  
Comparative Study ◽  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Pulmonary Function Tests ◽  
Institute Of Medicine ◽  
Cross Sectional ◽  
Pulmonary Functions ◽  
Inspiratory Muscles ◽  
Function Tests

<p> Due to regular exercises, athletes tend to have an increase in pulmonary functions when compared to non exercising individuals, especially when the exercise is strenuous. Intensity and severity of sports engaged in by the athletes determines the extent of strengthening of the inspiratory muscles with a resultant increase in the lung volumes and capacities. Pulmonary parameters like tidal volume and forced vital capacity are significantly higher in athletes than in non athletes. A cross sectional comparative study was carried out in national sports council, Tribhuvan army club and institute of medicine, Kathmandu, Nepal. The athletes were footballers from Tribhuvan army club and sprinters from national sports council. The non-athletes were medical students from the institute of medicine, Kathmandu. Data were collected after performing spirometry and mean values were compared between athletes and non-athletes. Pulmonary functions were assessed based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Spirometry was performed in 169 subjects, out of which 84 were athletes and 85 were non-athletes. Athletes had a significantly superior FVC (P =0.00) compared to non-athletes. FEV1 was also recorded significantly higher in athletes than in non-athletes (P=0.023). Athletes have better pulmonary function tests than non-athletes because exercise in athletes strengthens the muscles of respiration. </p>

Laparoendoscopic Single Site Cholecystectomy: The First 100 Patients

2009 ◽  
Vol 75 (8) ◽  
pp. 681-686 ◽  
Author(s):  
Jonathan M. Hernandez ◽  
Connor A. Morton ◽  
Sharona Ross ◽  
Michael Albrink ◽  
Alexander S. Rosemurgy
Keyword(s):  
Length Of Stay ◽  
Pain Control ◽  
Operative Time ◽  
Hospital Length ◽  
Single Site ◽  
Hospital Length Of Stay ◽  
Laparoendoscopic Single Site ◽  
Small Series ◽  
Time Period ◽  
Median Operative Time

Laparoendoscopic single site (LESS) surgery promises improved cosmesis and possibly less pain. However, given the small series reported to date, true estimates of the advantages and possible disadvantages of LESS surgery remain unknown. This study was undertaken to evaluate the first 100 patients undergoing LESS cholecystectomy at our institution. Patients referred for cholecystectomy since November 2007 were considered for LESS cholecystectomy. Outcomes, including blood loss, operative time, complications, and length of stay, were recorded. Outcomes are compared with an uncontrolled concurrent group of patients undergoing multi-incision laparoscopic (i.e., conventional) cholecystectomy. One hundred patients with a median age of 44 years underwent LESS cholecystectomy; 30 patients with a median age of 46 years underwent conventional cholecystectomy over the same time period. Median operative time (70 vs 66 minutes, P = 0.67, Mann-Whitney) and hospital length of stay (1 vs 1 day, P = 0.81, Mann-Whitney) were not different for patients undergoing LESS or multi-incision cholecystectomies, respectively. Five patients undergoing LESS cholecystectomy had postoperative complications: cystic duct stump leak (one), pain control issues (three), and urinary retention (one). LESS cholecystectomy is a safe and effective alternative to conventional cholecystectomy. It can be undertaken without added operative time and provides patients with minimal, if any, scarring.

scholarly journals Study of pulmonary function tests in response to localized cold stimuli in age group between 19-30 years of Guwahati city

2017 ◽  
Vol 5 (7) ◽  
pp. 3107
Author(s):  
Bijit Dutta ◽  
Bonti Bora
Keyword(s):  
Pulmonary Function ◽  
Vital Capacity ◽  
Cold Water ◽  
Pulmonary Function Tests ◽  
Age Group ◽  
Climatic Effect ◽  
Medical College ◽  
Deviation Analysis ◽  
Function Tests ◽  
Guwahati City

Background: The aim of the study was to observe any variation in the pulmonary functions in response to localized cold stimuli in an externally controlled environment.Methods: The baseline pulmonary function parameters were obtained before the introduction of localized cold stimuli. Now the stimuli were introduced by immersing both feet up to ankle in a bucket full of cold water maintained at temperature between 8-10degree Celsius in 30 male healthy subjects (age group 19-30 years) and the parameters were noted after 2 minutes and 5 minutes respectively using a Medspiror (HELIOS) Electronic spirometer and keeping room temperature at 24ocelsius in the Department of Physiology, Gauhati Medical College, Guwahati, Assam, India. For statistical analysis, the value of the pulmonary function parameters were presented as Mean±standard deviation. Analysis of variance (ANOVA) using Statistical Package for Social Sciences (SPSS) version 20 was employed for comparing the parameters and p<0.05 was considered as significant.Results: It was observed that the tidal volume and Inspiratory capacity showed a significant increase (p<0.05) whereas the Inspiratory reserve volume, expiratory reserve volume and forced vital capacity showed a significant decrease (p<0.05) in response to the cold stimuli.Conclusions: A significant effect was obtained in the pulmonary function tests exposed to cold stimuli showing the multidimensional response of the respiratory mechanics to cold, making a base for further information into the cold climatic effect in an individual.

scholarly journals Effects of exercise on pulmonary function tests: A comparative study between athletes and non-athletes in Nepalese settings

2017 ◽  
Vol 6 (1) ◽  
pp. 21-23
Author(s):  
N B Mahotra ◽  
T M Amatya ◽  
B SJB Rana ◽  
D Banstola
Keyword(s):  
Comparative Study ◽  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Pulmonary Function Tests ◽  
Institute Of Medicine ◽  
Cross Sectional ◽  
Pulmonary Functions ◽  
Inspiratory Muscles ◽  
Function Tests

 Due to regular exercises, athletes tend to have an increase in pulmonary functions when compared to non exercising individuals, especially when the exercise is strenuous. Intensity and severity of sports engaged in by the athletes determines the extent of strengthening of the inspiratory muscles with a resultant increase in the lung volumes and capacities. Pulmonary parameters like tidal volume and forced vital capacity are significantly higher in athletes than in non athletes. A cross sectional comparative study was carried out in national sports council, Tribhuvan army club and institute of medicine, Kathmandu, Nepal. The athletes were footballers from Tribhuvan army club and sprinters from national sports council. The non-athletes were medical students from the institute of medicine, Kathmandu. Data were collected after performing spirometry and mean values were compared between athletes and non-athletes. Pulmonary functions were assessed based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Spirometry was performed in 169 subjects, out of which 84 were athletes and 85 were non-athletes. Athletes had a significantly superior FVC (P =0.00) compared to non-athletes. FEV1 was also recorded significantly higher in athletes than in non-athletes (P=0.023). Athletes have better pulmonary function tests than non-athletes because exercise in athletes strengthens the muscles of respiration. 

Interpretation of pulmonary function tests: beyond the basics

2016 ◽  
Vol 65 (2) ◽  
pp. 301-310 ◽  
Author(s):  
Bashar S Staitieh ◽  
Octavian C Ioachimescu
Keyword(s):  
Pulmonary Function ◽  
Vital Capacity ◽  
Pulmonary Function Tests ◽  
Practical Method ◽  
Forced Expiratory Volume ◽  
European Respiratory Society ◽  
Prognostic Information ◽  
Lung Capacity ◽  
Function Tests ◽  
Functional Indices

Although the general framework described in the joint American Thoracic Society/European Respiratory Society guidelines provides a useful and practical method for the interpretation of pulmonary function tests, several other measurements and functional indices, if understood correctly, may help in diagnosis and management of patients with respiratory diseases and in design of research protocols. This review provides information on the underlying physiology, interpretative caveats, and the evidence supporting the use of a number of these indices. Some of these measurements, such as the inspiratory fraction, inspiratory capacity/total lung capacity (IC/TLC), may offer additional prognostic information, while others, such as residual volume (RV)/TLC and forced expiratory volume in 3 s/forced vital capacity (FEV3/FVC), may help fill in the gaps between patient symptoms and more traditional indices of pulmonary function. Although most studies of non-traditional indices focus on airflow-limiting disorders, many can be fruitfully applied in other settings. Understanding the physiology that catalyzed these investigations will undoubtedly enrich the functional assessment armamentarium of the practicing clinician and researcher.

scholarly journals Pulmonary functions in car air conditioner users and non-air conditioner users in tertiary care centre, South Tamilnadu, India

2019 ◽  
Vol 7 (9) ◽  
pp. 3510
Author(s):  
Hoshea Jeba Ruth S. ◽  
Lisha Vincent
Keyword(s):  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Pulmonary Function Tests ◽  
Forced Expiratory Volume ◽  
Control Group ◽  
Air Conditioner ◽  
Air Conditioners ◽  
Function Tests ◽  
Expiratory Flow

Background: Air conditioners are used extensively these days of the modern lifestyle. Inhalation of cold dry air while using Air conditioners causes bronchoconstriction due to which alteration may occur in pulmonary function. This study was aimed to compare the Pulmonary Function tests of Car AC users and non AC users. Methods: The Study included 52 employees not exposed to car air conditioner as a control (group I) and 52 employees exposed to car air conditioner  with minimum exposure of 1 hour per day for 6 months as a subject (group II). Pulmonary function tests were performed using computerised spirometer. Statistical analysis was done by unpaired t test.Results: Age, Height and weight are not statistically significant between study group and control group. Forced vital capacity, forced expiratory volume in 1 second, Ratio of Forced vital capacity and Forced expiratory volume in 1 second, Inspiratory reserve volume, Expiratory reserve volume, Maximum voluntary ventilation are decreased in car air conditioner users compared to non-users, but was not significant. Forced expiratory flow (FEF), Peak expiratory flow rate (PEFR) values shows statistically significant decreased in car air conditioner users.Conclusions: The present study shows hyper-responsive airways on exposure to cold air which leads to bronchoconstriction. The significant decrease in PEFR, FEF suggest that upper airways as well as smaller airways are affected on exposure to car AC. So, Exposure to car Air Conditioner leads to risk of developing respiratory dysfunction.

scholarly journals Duodenum-preserving pancreatic head resections for surgical treatment of paraduodenal pancreatitis

2020 ◽  
Vol 49 (4) ◽  
pp. 51-54
Author(s):  
O. Yu. Usenko ◽  
V. M. Kopchak ◽  
I. V. Khomiak ◽  
A. I. Khomiak ◽  
A. V. Malik
Keyword(s):  
Surgical Treatment ◽  
Length Of Stay ◽  
Pain Score ◽  
Pain Control ◽  
Pancreatic Head ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Study Group ◽  
Paraduodenal Pancreatitis

Introduction. Up to date, no consensus exists on the surgical treatment of paraduodenal pancreatitis (PDP). Most authors prefer to perform pancreaticoduodenectomy when surgical treatment is indicated. However, such an aggressive approach may not always be justified for the treatment of benign disease. The aim of our study was to investigate the results of duodenum-preserving pancreatic head resections (DPPHR) for the treatment of PDP. Materials and methods. We performed a retrospective analysis of a database consisting of 112 patients with PDP treated in Shalimov National Institute of Surgery and Transplantology from 2014 to 2019. A total of 45 patients after DPPHR were included to the study. Such modifications of DPPHR as Frey’s, Beger’s and Berne’s procedures were used. The primary study endpoint was pain control assessed according to the Izbicki pain score before surgery and at follow-up visits. Secondary endpoints were defined as complication rate (Clavien — Dindo >2), hospital length of stay and 90-day mortality. All patients were followed-up for the assessment of pain cessation with a median of 33 months (range 8–54 months). Results. There were 42 males (93.3%) and 3 females (6.7%) in the study group. Preoperative Izbicki pain score result was 52.6 points. Follow-up pain score results were significantly lower at 11.7 points. Postoperative complication rate (Clavien — Dindo >2) was measured at 8.9%. Median hospital length of stay was 17.4 days. No mortality was recorded in the study group. All results were statistically significant (p<0.05). Conclusion. Application of DPPHR for the surgical treatment of PDP allows to achieve excellent results in terms of pain control (52.6 and 11.7 points on the Izbicki pain score before surgical intervention and at follow-up), while maintaining low complication (8.9%) and mortality (0%) rates.

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