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January 1, 2014Brazilian Journal of Cardiovascular SurgeryOpen Access

Preoperative therapy restores ventilatory parameters and reduces length of stay in patients undergoing myocardial revascularization

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Why the study?

Does preoperative physiotherapy improve respiratory muscle strength and reduce length of hospital stay in patients undergoing myocardial revascularization?

Population

70 patients of both genders, aged 40 to 75 years, undergoing myocardial revascularization at a single center…

Comparison

Preoperative physiotherapy including written… vs Only orientation of the ward on the day of…

Design

Cohort

Follow-up

Until hospital discharge

Authors

GGGabriel Negretti GuiradoUniversidade Estadual Paulista (Unesp)MSMoisés Teixeira SobrinhoUniversidade Estadual Paulista (Unesp)MSMarcos Augusto de Moraes SilvaHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Discussion

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Implication

May support preoperative physiotherapy before revascularization; leaves open causality and practice change pending randomized trials.

Structured PICO

Does preoperative physiotherapy improve respiratory muscle strength and reduce length of hospital stay in patients undergoing myocardial revascularization?

P
Population
70 patients of both genders, aged 40 to 75 years, undergoing myocardial revascularization at a single center in Brazil.
I
Intervention
Preoperative physiotherapy including written protocol guidance, breathing exercises, and respiratory muscle training (n=35).
C
Comparator
Only orientation of the ward on the day of surgery (n=35).
O
Outcome
Length of hospital stay, changes in lung volumes, and respiratory muscle strength (maximal inspiratory and expiratory pressures).

Preoperative physiotherapy including breathing exercises and muscle training improves postoperative respiratory function and reduces hospital length of stay in patients undergoing myocardial revascularization.

Cite This Study

Guirado et al. (2014) studied this question.

synapsesocial.com/papers/6a923b41455c025ecaf0c860https://doi.org/10.5935/1678-9741.20140021
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Also Consider

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  1. 1Preoperative Intensive Inspiratory Muscle Training to Prevent Postoperative Pulmonary Complications in High-Risk Patients Undergoing CABG Surgery2006 · 698 citations
  2. 2A controlled trial of intermittent positive pressure breathing, incentive spirometry, and deep breathing exercises in preventing pulmonary complications after abdominal surgery.1984 · 305 citations
  3. 3Upper abdominal surgery: does a lung function test exist to predict early severe postoperative respiratory complications?1997 · 86 citations
  4. 4Surgery and respiratory muscles1999 · 37 citations