Preoperative Ambulatory Inspiratory Muscle Training in Patients Undergoing Esophagectomy. A Pilot Study

被引:21
作者
Agrelli, Taciana Freitas [1 ]
Ramos, Marisa de Carvalho [1 ]
Guglielminetti, Rachel [1 ]
Silva, Alex Augusto [1 ]
Crema, Eduardo [1 ]
机构
[1] Univ Fed Triangulo Mineiro, Dept Digest Tract Surg, Uberaba, MG, Brazil
关键词
Physiotherapy; Inspiratory muscle training; Esophagectomy; POSTOPERATIVE PULMONARY COMPLICATIONS; MAXIMAL RESPIRATORY PRESSURES; CHAGAS-DISEASE; LUNG-FUNCTION; HIGH-RISK; SURGERY; CAPACITY; VALUES;
D O I
10.9738/CC136.1
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
A major decline in pulmonary function is observed on the first day after upper abdominal surgery. This decline can reduce vital and inspiratory capacity and can culminate in restrictive lung diseases that cause atelectasis, reduced diaphragm movement, and respiratory insufficiency. The objective of this study was to evaluate the efficacy of preoperative ambulatory respiratory muscle training in patients undergoing esophagectomy. The sample consisted of 20 adult patients (14 men [70%] and 6 women [30%]) with a diagnosis of advanced chagasic megaesophagus. A significant increase in maximum inspiratory pressure was observed after inspiratory muscle training when compared with baseline values (from -55.059 +/- 18.359 to -76.286 +/- 16.786). Preoperative ambulatory inspiratory muscle training was effective in increasing respiratory muscle strength in patients undergoing esophagectomy and contributed to the prevention of postoperative complications.
引用
收藏
页码:198 / 202
页数:5
相关论文
共 32 条
[1]
Rationale of the Combined Use of Inspiratory and Expiratory Devices in Improving Maximal Inspiratory Pressure and Maximal Expiratory Pressure of Patients With Chronic Obstructive Pulmonary Disease [J].
Battaglia, Elvia ;
Fulgenzi, Alessandro ;
Ferrero, Maria Elena .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2009, 90 (06) :913-918
[2]
Laparoscopic transhiatal subtotal esophagectomy for the treatment of advanced megaesophagus [J].
Crema, E ;
Ribeiro, LBP ;
Terra, JA ;
Silva, AA .
ANNALS OF THORACIC SURGERY, 2005, 80 (04) :1196-1201
[3]
Assessment of pulmonary function in patients before and after laparoscopic and open esophagogastric surgery [J].
Crema, E ;
Benelli, AG ;
Silva, AV ;
Martins, AJ ;
Pastore, R ;
Kujavao, GH ;
Silva, AA ;
Santana, JR .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2005, 19 (01) :133-136
[4]
Crema Eduardo, 2003, Rev. Soc. Bras. Med. Trop., V36, P665, DOI 10.1590/S0037-86822003000600004
[5]
Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study [J].
Dronkers, Jaap ;
Veldman, Andre ;
Hoberg, Ellen ;
van der Waal, Cees ;
van Meeteren, Nico .
CLINICAL REHABILITATION, 2008, 22 (02) :134-142
[6]
Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis [J].
Enright, S ;
Chatham, K ;
Ionescu, AA ;
Unnithan, VB ;
Shale, DJ .
CHEST, 2004, 126 (02) :405-411
[7]
EFFECTS OF CHEST PHYSIOTHERAPY ON THE RESPIRATORY FUNCTION OF POSTOPERATIVE GASTROPLASTY PATIENTS [J].
Forti, Eli ;
Ike, Daniela ;
Barbalho-Moulim, Marcela ;
Rasera, Irineu, Jr. ;
Costa, Dirceu .
CLINICS, 2009, 64 (07) :683-689
[8]
Garcia RCP, 2002, REV BRAS FISIOTER, V6, P139
[9]
Feasibility of preoperative inspiratory muscle training in patients undergoing coronary artery bypass surgery with a high risk of postoperative pulmonary complications:: a randomized controlled pilot study [J].
Hulzebos, Erik H. J. ;
van Meeteren, Nico L. U. ;
van den Buijs, Bram J. W. M. ;
de Bie, Rob A. ;
de la Riviere, A. Brutel ;
Helders, Paul J. M. .
CLINICAL REHABILITATION, 2006, 20 (11) :949-959
[10]
Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery -: A randomized clinical trial [J].
Hulzebos, Erik H. J. ;
Helders, Paul J. M. ;
Favie, Nine J. ;
De Bie, Rob A. ;
de la Riviere, Aart Brutel ;
Van Meeteren, Nico L. U. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (15) :1851-1857