Why the study?
Does incentive spirometry prevent postoperative pulmonary complications in preoperative and postoperative patients?
Population
Patients in the preoperative and postoperative setting, including those undergoing upper-abdominal surgery…
Comparison
Incentive spirometry vs Deep breathing exercises or no routine use
Design
Guideline
Authors
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Do not use incentive spirometry alone routinely to prevent postoperative pulmonary complications; reinforces Level 1 evidence for multimodal regimens instead.
Systematic Review
Does incentive spirometry prevent postoperative pulmonary complications in preoperative and postoperative patients?
This guideline update recommends against the routine use of incentive spirometry alone for preventing postoperative pulmonary complications, advising its use only as part of a comprehensive respiratory therapy regimen.
Restrepo et al. (2011) conducted a systematic review in Postoperative pulmonary complications and atelectasis. Incentive spirometry was evaluated on Postoperative pulmonary complications. A review of 54 clinical trials and systematic reviews concluded that incentive spirometry alone is not recommended for routine use to prevent postoperative pulmonary complications.
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