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March 1, 2021Revista Portuguesa de Cardiologia (English Edition)Open Access

A preoperative breathing intervention on patients undergoing cardiac surgery may help improve respiratory performance after surgery, reduce postoperative pulmonary complications, and decrease hospital length of stay.

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Why the study?

Postoperative pulmonary complications are a common cause of morbidity and mortality after cardiac surgery, increasing length of hospital stay and healthcare costs.

Does preoperative breathing exercise training improve respiratory parameters, reduce postoperative pulmonary complications, and decrease length of hospital stay in adult patients undergoing elective cardiac surgery?

Comparison

Preoperative breathing exercise training vs comparator

Authors

SRSoraia Nicola RodriguesHHHelga Rafael HenriquesMHMaria Adriana Henriques

Discussion

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Member takes

Overview

Supports incorporating preoperative breathing exercises into elective cardiac surgery pathways; extends RCT evidence via systematic synthesis.

Structured PICO

Does preoperative breathing exercise training improve respiratory parameters, reduce postoperative pulmonary complications, and decrease length of hospital stay in adult patients undergoing elective cardiac surgery?

P
Population
1,240 adult patients scheduled for elective cardiac surgery across 11 studies (10 RCTs and 1 observational cohort study)
I
Intervention
Preoperative breathing exercise training aimed at improving breathing parameters, preventing postoperative pulmonary complications, and reducing hospital length of stay
O
Outcome
Postoperative outcomes including respiratory parameters, postoperative pulmonary complications, and length of hospital stay

Preoperative breathing exercises may improve postoperative respiratory outcomes and reduce hospital stay in patients undergoing elective cardiac surgery.

Limitations

  • More trials are needed to support and strengthen the evidence

Cite This Study

Rodrigues et al. (2021) studied this question.

synapsesocial.com/papers/6a814f08b5fee548463c70adhttps://doi.org/10.1016/j.repce.2020.08.006
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Also Consider

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

  1. 1Effectiveness of preoperative breathing exercise interventions in patients undergoing cardiac surgery: A systematic review2021 · 26 citations
  2. 2Efficacy of respiratory physiotherapy preceding to heart surgery with extracorporeal circulation2024 · 1 citations
  3. 3Preoperative Pulmonary Rehabilitation to Prevent Postoperative Pulmonary Complications following Open Heart Surgery: A Narrative Review2022 · 2 citations
  4. 4Response to the letter from Rodrigues M and Vaz IM regarding the article “Effectiveness of a preoperative breathing exercise intervention in patients undergoing cardiac surgery: a systematic review”2021
  5. 5Response to the letter from Rodrigues M and Vaz IM regarding the article “Effectiveness of a preoperative breathing exercise intervention in patients undergoing cardiac surgery: a systematic review”2021