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Incentive spirometry

Mijee Koo, Sunkyung Hwang
PURPOSE: The purpose of this study was to identify the effects of exhalation breathing exercises using expirometer and that of inhalation breathing exercises using incentive spirometry on pulmonary function and complications in elderly patients with upper-abdominal surgery. METHODS: The research design was a nonequivalent control group non-synchronized design. Participants were 63 patients who underwent upper-abdominal surgery under general anesthesia (32 in experiment group, 31 in control group)...
August 2016: Journal of Korean Academy of Nursing
Gopala Krishna Alaparthi, Alfred Joseph Augustine, R Anand, Ajith Mahale
Objective. To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery. Methodology. We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group...
2016: Minimally Invasive Surgery
Chang-Yong Kim, Jung-Sun Lee, Hyeong-Dong Kim, Dong-Jin Lee
OBJECTIVE: To investigate the effects of respiratory muscle training (RMT) combined with the abdominal drawing-in maneuver (ADIM) on the pulmonary function in patients with chronic spinal cord injury (SCI). METHODS: Thirty-seven subjects with SCI (level of injury: C4-T6, time since injury: 4-5 years) were randomly allocated to three groups; the integrated training group (ITG), the RMT group (RMTG), and the control group (CG). The ITG performed RMT using an incentive respiratory spirometer (IRS) and the ADIM using a stabilizer...
July 27, 2016: Journal of Spinal Cord Medicine
Kristin L Schreiber, Jacques E Chelly, R Scott Lang, Ezeldeen Abuelkasem, David A Geller, J Wallis Marsh, Allan Tsung, Tetsuro Sakai
BACKGROUND AND OBJECTIVES: Although many studies have found no difference between thoracic epidural block and unilateral thoracic paravertebral block after thoracotomy, no previous studies have compared epidural block with bilateral thoracic paravertebral block (bTPVB) in patients undergoing open liver resection. We aimed to investigate whether there was a significant analgesic advantage of thoracic epidural over bTPVB after liver resection. METHODS: This randomized, prospective, open-label study included adult patients undergoing elective open liver resection...
July 2016: Regional Anesthesia and Pain Medicine
Rabbinu R Pribadi, Gurmeet Singh, Cleopas M Rumende
Pneumothorax is the presence of air in the pleural space. Its management consists of noninvasive and invasive therapies and it is determined based on clinical manifestations, type and size of pneumothorax. We present a case of a patient with diagnosis of primary spontaneous pneumothorax treated with incentive spirometry (noninvasive therapy). A 20 year old man came to respirology clinic with chief complaint of shortness of breath. He was recently diagnosed with left pneumothorax based on previous chest X-ray in another health care facilities and was advised to undergo tube thoracostomy but he refused the procedure...
January 2016: Acta Medica Indonesiana
S Gunay, I Eser, M Ozbey, M Agar, I Koruk, I C Kurkcuoglu
INTRODUCTION: Although the methods used in thoracic surgery have been developing rapidly over the last five decades, postoperative pulmonary complications are seen in this field more than in other surgical branches. We aimed at comparing the acute effects of incentive spirometry (IS) and breathing retraining exercises by a respiratory physiotherapist or experienced physiotherapist. METHODS: Patients were randomized into two groups as spirometry and physiotherapist...
May 2016: Nigerian Journal of Clinical Practice
Ahmadreza Yazdannik, Hiva Mohammadi Bollbanabad, Mohsen Mirmohammadsadeghi, Asghar Khalifezade
BACKGROUND: After coronary artery bypass surgery, pulmonary complications and oxygenation disorders are common, which have an important role in mortality and morbidity. Different methods are used for the improvement of pulmonary function and oxygenation, of which incentive spirometry (IS) has been investigated here. The aim of this study is to evaluate the effects of IS on arterial blood gases after coronary artery bypass graft (CABG). MATERIALS AND METHODS: This was a clinical trial...
January 2016: Iranian Journal of Nursing and Midwifery Research
Aqilah Leela T Narayanan, Syed Rasul G Syed Hamid, Eko Supriyanto
BACKGROUND: Evidence regarding the effectiveness of incentive spirometry (ISy) on postoperative pulmonary outcomes after thoracic, cardiac and abdominal surgery remains inconclusive. This is attributed to various methodological issues inherent in ISy trials. Patient compliance has also been highlighted as a possible confounding factor; however, the status of evidence regarding patient compliance in these trials is unknown. OBJECTIVE: To explore the status of evidence on patient compliance with ISy interventions in randomized controlled trials (RCTs) in the above contexts...
2016: Canadian Journal of Respiratory Therapy: CJRT
Davinderbir Pannu, Dennis Yang, Patricia L Abbitt, Peter V Draganov
BACKGROUND AND AIMS: Peroral endoscopic myotomy (POEM) is a procedure with potential for serious adverse events. Postprocedure imaging is routinely done, yet there is no consensus on the optimal imaging protocol. We describe a novel and simple CT esophagram protocol for evaluation after POEM and for reporting the full spectrum of radiographic findings and subsequent interventions. METHODS: This was a single-center prospective study of consecutive patients treated with POEM evaluated with CT esophagram...
September 2016: Gastrointestinal Endoscopy
Amaravadi Sampath Kumar, Gopala Krishna Alaparthi, Alfred Joseph Augustine, Zulfeequer Chundaanveetil Pazhyaottayil, Anand Ramakrishna, Shyam Krishnan Krishnakumar
INTRODUCTION: Surgical procedures in abdominal area lead to changes in pulmonary function, respiratory mechanics and impaired physical capacity leading to postoperative pulmonary complications, which can affect up to 80% of upper abdominal surgery. AIM: To evaluate the effects of flow and volume incentive spirometry on pulmonary function and exercise tolerance in patients undergoing open abdominal surgery. MATERIALS AND METHODS: A randomized clinical trial was conducted in a hospital of Mangalore city in Southern India...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
Barbara P Yawn, Joylene John-Sowah
Family physicians are the primary and sometimes only health care resource for families affected by sickle cell disease. Recently published guidelines provide important recommendations for health maintenance, acute care, and monitoring of disease-modifying therapy in persons with this condition. This overview highlights some of the most important clinical activities that can and should be carried out in the community care setting. Children with sickle cell anemia should receive prophylactic penicillin from birth through at least five years of age, and all persons with sickle cell disease require vaccination to prevent invasive pneumococcal disease...
December 15, 2015: American Family Physician
R Garg, K Dutta
No abstract text is available yet for this article.
January 2016: Anaesthesia and Intensive Care
Yipeng Ding, Junxu Xu, Jinjian Yao, Yu Chen, Ping He, Yanhong Ouyang, Huan Niu, Zhongjie Tian, Pei Sun
OBJECTIVE: To study the risk factors for chronic obstructive pulmonary disease (COPD) in Li population in Hainan province, People's Republic of China. METHODS: Li people above 40 years of age from Hainan were chosen by stratified random cluster sampling between 2012 and 2014. All participants were interviewed with a home-visiting questionnaire, and spirometry was performed on all eligible participants. Patients with airflow limitation (forced expiratory volume in 1 second [FEV1]/forced vital capacity [FVC] <0...
2015: International Journal of Chronic Obstructive Pulmonary Disease
Fredric M Pieracci, Yihan Lin, Maria Rodil, Madelyne Synder, Benoit Herbert, Dong Kha Tran, Robert T Stoval, Jeffrey L Johnson, Walter L Biffl, Carlton C Barnett, Clay Cothren-Burlew, Charles Fox, Gregory J Jurkovich, Ernest E Moore
BACKGROUND: Previous studies of surgical stabilization of rib fractures (SSRF) have been limited by small sample sizes, retrospective methodology, and inclusion of only patients with flail chest. We performed a prospective, controlled evaluation of SSRF as compared with optimal medical management for severe rib fracture patterns among critically ill trauma patients. We hypothesized that SSRF improves acute outcomes. METHODS: We conducted a 2-year clinical evaluation of patients with any of the following rib fracture patterns: flail chest, three or more fractures with bicortical displacement, 30% or greater hemithorax volume loss, and either severe pain or respiratory failure despite optimal medical management...
February 2016: Journal of Trauma and Acute Care Surgery
Kalpana Vinod Kelkar
Post-operative pulmonary complications (PPCs) occur in 5-10% of patients undergoing non-thoracic surgery and in 22% of high risk patients. PPCs are broadly defined as conditions affecting the respiratory tract that can adversely influence clinical course of the patient after surgery. Prior risk stratification, risk reduction strategies, performing short duration and/or minimally invasive surgery and use of anaesthetic technique of combined regional with general anaesthesia can reduce the incidence of PPCs. Atelectasis is the main cause of PPCs...
September 2015: Indian Journal of Anaesthesia
Naheed Azhar
The anaesthetic management of patients with pre-existing pulmonary disease is a challenging task. It is associated with increased morbidity in the form of post-operative pulmonary complications. Pre-operative optimisation of lung function helps in reducing these complications. Patients are advised to stop smoking for a period of 4-6 weeks. This reduces airway reactivity, improves mucociliary function and decreases carboxy-haemoglobin. The widely used incentive spirometry may be useful only when combined with other respiratory muscle exercises...
September 2015: Indian Journal of Anaesthesia
Babak Sarani, Leah Schulte, Jose J Diaz
Rib fracture is exceedingly common and remains a leading cause of death in patients with chest injury. Probability of death increases by 19% with each broken rib, and the probability of death increases further with age. Treatment is centered on pain control and early mobilization to provide adequate pulmonary hygiene. Multimodality interventions, such as incentive spirometry, postural changes, and coughing, are pivotal in minimizing the risk of pneumonia and death. Recently, many studies have found mortality benefit to operation fixation (ORIF) of ribs in select patients...
December 2015: Injury
Gil Sokol, Daphna Vilozni, Ran Hakimi, Moran Lavie, Ifat Sarouk, Bat-El Bar, Adi Dagan, Miryam Ofek, Ori Efrati
BACKGROUND: Forced expiration may assist secretion movement by manipulating airway dynamics in patients with cystic fibrosis (CF). Expiratory resistive breathing via a handheld incentive spirometer has the potential to control the expiratory flow via chosen resistances (1-8 mm) and thereby mobilize secretions and improve lung function. Our objective was to explore the short-term effect of using a resistive-breathing incentive spirometer on lung function in subjects with CF compared with the autogenic drainage technique...
December 2015: Respiratory Care
Chang-Yong Kim, Jung-Sun Lee, Hyeong-Dong Kim, In-Seob Kim
PURPOSE: No study has examined the effects of the combination of respiratory muscle training (RMT) and abdominal drawing-in maneuver (ADIM) on respiratory muscle activity and function in stroke patients during early pulmonary rehabilitation. The purpose of this study was to investigate the effects of RMT combined with ADIM on decreased respiratory muscle activity and function in patients with post-stroke hemiplegia. METHODS: Thirty-seven subjects with post-stroke hemiplegia were randomly allocated to three groups; integrated training group (ITG), respiratory muscle training group (RMTG), and control group (CG)...
August 2015: Topics in Stroke Rehabilitation
Jong-Hwa Jeong, Won-Gyu Yoo
[Purpose] This study evaluated the effects of air stacking on pulmonary function and peak cough flow in patients with cervical spinal cord injury. [Subjects] Twenty-six patients were included in the study and were randomized into experimental (n = 14) and control (n = 12) groups. [Methods] Both groups performed therapeutic exercises: the control group performed incentive spirometry, while the experimental group performed 20 repetitions of air stacking exercise twice a day. The training for both groups continued for 5 days a week for 6 weeks...
June 2015: Journal of Physical Therapy Science
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