Added Effect of Deep Breathing and Diaphragmatic Breathing Exercise in Upper Abdominal Surgery Patients: A Randomised Clinical Trial

2020 ◽  
Vol 11 (2) ◽  
pp. 544
Author(s):  
Mistry Nirali ◽  
Saumya Srivastava
Keyword(s):  
Clinical Trial ◽  
Abdominal Surgery ◽  
Randomised Clinical Trial ◽  
Deep Breathing ◽  
Diaphragmatic Breathing ◽  
Breathing Exercise ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

scholarly journals Effect of deep breathing exercise on oxygenation of patients under major abdominal surgery: randomized clinical trial

2021 ◽  
pp. 8-16
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Abdominal Surgery ◽  
Randomized Clinical Trial ◽  
T Test ◽  
Major Abdominal Surgery ◽  
Deep Breathing ◽  
Breathing Exercise ◽  
And Control ◽  
Experimental Group

Introduction: The number of major abdominal surgical procedures is increasing around the world. A large number of the patients complain about postoperative pulmonary complications (PPCs) after abdominal surgery and show symptoms of breathing pattern disorder. Therefore, this study aimed to investigate the effect of deep breathing exercise on the oxygenation of patients undergoing major abdominal surgery. Methods: This single-blind randomized clinical trial was conducted on 40 patients who needed major abdominal surgery in Qom, Iran, in 2014. The participants were divided into two equal experimental (n=20) and control (n=20) groups. The cases in both groups received routine care, however, those in the experimental group exercised repeated deep breathing four times per hour for two consecutive hours after the surgery as well. The condition of the patients in both groups was similar in terms of position, mobility, and oxygen therapy. The patient’s oxygen saturation, respiratory rate (RR), heart rate, and the severity of pain in the surgery site were measured. The collected data were analyzed in SPSS software (Version. 18) using paired t-test, independent t-test, Mann-Whitney U test, Wilcoxon rank-sum test, Multiple regression analyses, Chi-square test, and Fischer’s exact test. A p-value less than 0.05 was considered statistically significant. Results: Based on the study findings, the deep breathing exercise significantly reduced the surgery site pain and mean blood pressure and increased O2 saturation in the experimental group after the intervention (P<0.05). Moreover, there was a statistically significant difference between the experimental and control groups, and a significantly higher O2 saturation was observed in the experimental group after deep breathing exercise post-operation (β=2.01, P<0.001). Conclusion: Deep breathing exercises can reduce the severity of pain in the surgery site and mean arterial blood pressure and increase O2 saturation in patients after major abdominal surgery.

scholarly journals Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: randomized clinical trial

2008 ◽  
Vol 126 (5) ◽  
pp. 269-273 ◽  
Author(s):  
Roberta Munhoz Manzano ◽  
Celso Ricardo Fernandes de Carvalho ◽  
Beatriz Mangueira Saraiva-Romanholo ◽  
Joaquim Edson Vieira
Keyword(s):  
Clinical Trial ◽  
Abdominal Surgery ◽  
Randomized Clinical Trial ◽  
Postoperative Period ◽  
Chest Physiotherapy ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Upper Abdominal Surgery ◽  
Hemoglobin Saturation ◽  
Upper Abdominal

CONTEXT AND OBJECTIVE: Abdominal surgical procedures increase pulmonary complication risks. The aim of this study was to evaluate the effectiveness of chest physiotherapy during the immediate postoperative period among patients undergoing elective upper abdominal surgery. DESIGN AND SETTING: This randomized clinical trial was performed in the post-anesthesia care unit of a public university hospital. METHODS: Thirty-one adults were randomly assigned to control (n = 16) and chest physiotherapy (n = 15) groups. Spirometry, pulse oximetry and anamneses were performed preoperatively and on the second postoperative day. A visual pain scale was applied on the second postoperative day, before and after chest physiotherapy. The chest physiotherapy group received treatment at the post-anesthesia care unit, while the controls did not. Surgery duration, length of hospital stay and postoperative pulmonary complications were gathered from patients' medical records. RESULTS: The control and chest physiotherapy groups presented decreased spirometry values after surgery but without any difference between them (forced vital capacity from 83.5 ± 17.1% to 62.7 ± 16.9% and from 95.7 ± 18.9% to 79.0 ± 26.9%, respectively). In contrast, the chest physiotherapy group presented improved oxygen-hemoglobin saturation after chest physiotherapy during the immediate postoperative period (p < 0.03) that did not last until the second postoperative day. The medical record data were similar between groups. CONCLUSIONS: Chest physiotherapy during the immediate postoperative period following upper abdominal surgery was effective for improving oxygen-hemoglobin saturation without increased abdominal pain. Breathing exercises could be adopted at post-anesthesia care units with benefits for patients.

Learning curve for gynecological oncologists in performing upper abdominal surgery

2020 ◽  
Vol 72 (5) ◽  
Author(s):  
Mariaclelia La Russa ◽  
Chrysoula G. Liakou ◽  
Nikolaos Akrivos ◽  
Hilary L. Turnbull ◽  
Timothy J. Duncan ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Learning Curve ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

Anaesthesia for Upper Abdominal Surgery

1947 ◽  
Vol 8 (5) ◽  
pp. 562-562 ◽  
Author(s):  
I. A. Schalit
Keyword(s):  
Abdominal Surgery ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

Use of Incentive Spirometry in Adults following Cardiac, Thoracic, and Upper Abdominal Surgery to Prevent Post-Operative Pulmonary Complications: A Systematic Review and Meta-Analysis

Respiration ◽  
2021 ◽  
pp. 1-14
Author(s):  
Kerrie A. Sullivan ◽  
Isabella F. Churchill ◽  
Danielle A. Hylton ◽  
Waël C. Hanna
Keyword(s):  
Abdominal Surgery ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
Pulmonary Complications ◽  
Adult Patients ◽  
Controlled Trials ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Incentive Spirometry ◽  
Rehabilitation Strategies

<b><i>Background:</i></b> Currently, consensus on the effectiveness of incentive spirometry (IS) following cardiac, thoracic, and upper abdominal surgery has been based on randomized controlled trials (RCTs) and systematic reviews of lower methodological quality. To improve the quality of the research and to account for the effects of IS following thoracic surgery, in addition to cardiac and upper abdominal surgery, we performed a meta-analysis with thorough application of the Grading of Recommendations Assessment, Development and Evaluation scoring system and extensive reference to the Cochrane Handbook for Systematic Reviews of Interventions. <b><i>Objective:</i></b> The objective of this study was to determine, with rigorous methodology, whether IS for adult patients (18 years of age or older) undergoing cardiac, thoracic, or upper abdominal surgery significantly reduces30-day post-operative pulmonary complications (PPCs), 30-day mortality, and length of hospital stay (LHS) when compared to other rehabilitation strategies. <b><i>Methods:</i></b> The literature was searched using Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, and Web of Science for RCTs between the databases’ inception and March 2019. A random-effect model was selected to calculate risk ratios (RRs) with 95% confidence intervals (CIs). <b><i>Results:</i></b> Thirty-one RCTs involving 3,776 adults undergoing cardiac, thoracic, or upper abdominal surgery were included. By comparing the use of IS to other chest rehabilitation strategies, we found that IS alone did not significantly reduce 30-day PPCs (RR = 1.00, 95% CI: 0.88–1.13) or 30-day mortality (RR = 0.73, 95% CI: 0.42–1.25). Likewise, there was no difference in LHS (mean difference = −0.17,95% CI: −0.65 to 0.30) between IS and the other rehabilitation strategies. None of the included trials significantly impacted the sensitivity analysis and publication bias was not detected. <b><i>Conclusions:</i></b> This meta-analysis showed that IS alone likely results in little to no reduction in the number of adult patients with PPCs, in mortality, or in the LHS, following cardiac, thoracic, and upper abdominal surgery.

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