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October 1, 2011Brazilian Journal of Physical TherapyOpen Access

Incentive spirometry in major surgeries: a systematic review

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Why the study?

Does incentive spirometry prevent postoperative pulmonary complications and improve recovery of pulmonary function in patients undergoing abdominal, cardiac, and thoracic surgeries?

Population

3,370 patients from 30 RCTs undergoing abdominal, cardiac, and thoracic surgeries.

Comparison

Incentive spirometry used pre- and/or… vs Control group in 5 studies; other comparisons…

Design

Systematic_review

Authors

CCCelso Ricardo Fernandes CarvalhoDPDenise PaisaniALAdriana Cláudia Lunardi

Discussion

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Overview

Does not support routine incentive spirometry after major surgery; challenges practice and redirects research to effective alternatives.

Structured PICO

Does incentive spirometry prevent postoperative pulmonary complications and improve recovery of pulmonary function in patients undergoing abdominal, cardiac, and thoracic surgeries?

P
Population
3,370 patients from 30 RCTs undergoing abdominal (14 studies), cardiac (13 studies), and thoracic (3 studies) surgeries.
I
Intervention
Incentive spirometry (IS) used pre- and/or post-operatively
C
Comparator
Control group (no intervention) in 5 studies; other comparisons not specified in abstract
O
Outcome
Prevention of postoperative pulmonary complications and recovery of pulmonary function

This systematic review found no evidence to support the routine use of incentive spirometry for preventing pulmonary complications or recovering lung function after major surgeries.

Cite This Study

Carvalho et al. (2011) studied this question.

synapsesocial.com/papers/6a87c2ff3bdf89560ead2d25https://doi.org/10.1590/s1413-35552011005000025
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Also Consider

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

  1. 1Incentive Spirometry: 20112011 · 183 citations
  2. 2Effectiveness of Incentive Spirometry Versus Deep Breathing Exercises in Preventing Postoperative Pulmonary Complications After Abdominal Surgery: A Comprehensive Review2025 · 2 citations
  3. 3Effect of incentive spirometry on oxygenation and postoperative pulmonary complications after open heart surgery2023
  4. 4Role of Incentive Spirometry On Management of Postoperative Pulmonary Complications in Elderly Urology Patients2023
  5. 5Preoperative Incentive Spirometer to Prevent Postoperative Pulmonary Complications following Open Heart Surgeries: A Randomized Single Blinded Multi-Centric Clinical Trial2022 · 2 citations