Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 7, 2022kufa journal for nursing sciencesOpen Access

Preoperative Pulmonary Rehabilitation to Prevent Postoperative Pulmonary Complications following Open Heart Surgery: A Narrative Review

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Despite the variety of breathing techniques used in clinical settings, conclusive evidence is lacking regarding which preoperative pulmonary rehabilitation technique is more effective at preventing complications after open heart surgery.

Does preoperative pulmonary rehabilitation reduce postoperative pulmonary complications and shorten length of stay in adult patients undergoing open heart surgeries?

Comparison

Preoperative pulmonary rehabilitation vs comparator not specified

Design

Narrative review

Authors

JNJadeel NoorUniversity of BaghdadSASadeq AL‐FayyadhUniversity of Baghdad

Discussion

Loading...

Member takes

Overview

Supports preoperative pulmonary rehabilitation before open heart surgery; hypothesis-generating pending optimal regimen and RCT confirmation.

Structured PICO

Does preoperative pulmonary rehabilitation reduce postoperative pulmonary complications and shorten length of stay in adult patients undergoing open heart surgeries?

P
Population
3,908 adult patients undergoing open heart surgeries (Coronary Artery Bypass Grafts and/or valvular surgery) pooled from 8 RCTs and 6 systematic reviews.
I
Intervention
Preoperative pulmonary rehabilitation (including incentive spirometer, inspiratory muscle training, diaphragmatic breathing, deep breathing, and coughing exercises) delivered prior to surgery.
C
Comparator
Standard preoperative care, no intervention, or routine physiotherapy.
O
Outcome
Incidence of postoperative pulmonary complications (PPCs), pulmonary function test (PFT) parameters, ventilation period, and length of stay in ICU and hospital.hard clinical

Preoperative pulmonary rehabilitation, including inspiratory muscle training and incentive spirometry, is an effective strategy to reduce postoperative pulmonary complications and hospital length of stay in patients undergoing open heart surgery.

Limitations

  • Lack of blinding in some included studies
  • Variations in training load, duration, and devices used
  • Lack of reporting on patient adherence and supervision
  • Potential for overestimation of treatment effect
  • Small sample sizes in some included trials

Cite This Study

Noor et al. (2022) studied this question.

synapsesocial.com/papers/6a814f08b5fee548463c70abhttps://doi.org/10.36321/kjns.vi20222.3866
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1PRE-OPERATIVE INCENTIVE SPIROMETRY2016 · 2 citations
  2. 2Pulmonary Protection Strategies in Cardiac Surgery: Are We Making Any Progress?2015 · 19 citations
  3. 3Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery2020 · 6 citations
  4. 4Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: A systematic review2021 · 5 citations
  5. 5The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial2019 · 79 citations