Is retained mucus a risk factor for the development of postoperative atelectasis and pneumonia? - Implications for the physiotherapist

Physiotherapy Theory and Practice

Volumn 16, Issue 2, 2000, Pages 69-80

  Smith, Megan C L ^a   Ellis, Elizabeth R ^b  

^a CHARLES STURT UNIVERSITY   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ATELECTASIS; LUNG CLEARANCE; MUCOCILIARY CLEARANCE; MUCUS; PHYSIOTHERAPY; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; REVIEW; RISK FACTOR;

EID: 0033943320     PISSN: 09593985     EISSN: None     Source Type: Journal    
DOI: 10.1080/095939800407268     Document Type: Review

References (71)

1. Alexander JL, Spence AA, Parikh RK, Stuart B 1973 The role of airway closure in postoperative hypoxaemia. British Journal of Anaesthesia 45: 34-40
2. Bateman, JRM, Pavia D, Sheahan NF, Agnew JE, Clarke SW 1983 Impaired tracheobronchial clearance in patients with mild stable asthma. Thorax 38: 463-467
3. Benjamin RG, Chapman GA, Kim CS, Sackner MA 1989 Removal of bronchial secretions by two-phase gas-liquid transport. Chest 95: 658-663
4. Brooks-Brunn JA 1998 Validation of a predictive model for postoperative pulmonary complications. Heart and Lung 27: 151-158
5. Byrd RB, Burns JR 1975 Cough dynamics in the post-thoracotomy state. Chest 67: 654-657
6. Chopra SK, Taplin GV, Simmons DH, Robinson GD, Elam D, Coulson A 1977 Effects of hydration and physical therapy on tracheal transport velocity. American Review of Respiratory Disease 115: 1009-1014
7. Chulay M, Brown J, Summer W 1982 Effect of postoperative immobilization after coronary artery bypass surgery. Critical Care Medicine 10: 176-178
8. Craig DB 1981 Postoperative recovery of pulmonary function. Anaesthesia and Analgesia 60: 46-52
9. Cunnion K, Weber D, Broadhead E, Hanson L, Pieper C, Rutala W 1996 Risk factors for nosocomial pneumonia: Comparing adult critical-care populations. American Journal of Critical Care Medicine 153: 158-162
10. Curry LD, Van Eeden C 1977 The influence of posture on the effectiveness of coughing. South African Journal of Physiotherapy June: 8-10
11. DeVita MA, Robinson LR, Rehder J, Hattler B, Cohen G 1993 Incidence and natural history of phrenic neuropathy occurring during open heart surgery. Chest 103: 850-856
12. Dilworth JP, Pounsford JC, White RJ 1990 Cough threshold after upper abdominal surgery. Thorax 45: 207-209
13. Dilworth JP, White RJ 1992 Postoperative chest infection after upper abdominal surgery: An important problem for smokers. Respiratory Medicine 86: 205-210
14. Dunstan J, Riddle M 1997 Rapid recovery management: The effects on the patient who has undergone heart surgery. Heart and Lung 26: 289-298
15. Dureil B, Viires N, Cantineau J, Aubier M, Desmonts J-M 1986 Diaphragmatic contractility after upper abdominal surgery. Journal of Applied Physiology 61: 1775-1780
16. Egbert LD, Bendixen HH 1964 Effect of morphine on breathing pattern. JAMA 188: 485-488
17. Ephgrave KS, Kleiman-Wexler R, Pfaller M, Booth B, Werkmeister L, Young S 1993 Postoperative pneumonia: A prospective study of risk factors and morbidity. Surgery 114: 815-821
18. Forbes AR, Gamsu G 1979 Lung mucociliary clearance after anaesthesia with spontaneous and controlled ventilation. American Review of Respiratory Disease 120: 857-862
19. Forbes AR, Horrigan RW 1977 Mucociliary flow in the trachea during anaesthesia with eflurane, ether, nitrous oxide and morphine. Anaesthesiology 46: 319-321
20. Gallon A 1991 Evaluation of chest percussion in the treatment of patients with copious sputum production. Respiratory Medicine 88: 45-51
21. Gamsu G, Singer MM, Vincent H, Berry S, Nadel JA 1976 Postoperative impairment of mucus transport in the lung. American Review of Respiratory Disease 114: 673-679
22. Garibaldi RA, Britt MR, Coleman ML, Reading JC, Pace NL 1981 Risk factors for postoperative pneumonia. The American Journal of Medicine 70: 677-680
23. Goodman RM, Yergin BM, Landa JF, Golinvaux MH, Sackner MA 1978 Relationship of smoking history and pulmonary function tests to tracheal mucus velocity in nonsmokers, young smokers, ex-smokers, and patients with chronic bronchitis. American Review of Respiratory Disease 117: 205-214
24. Hasani A, Pavia D, Agnew JE, Clarke SW 1994 Regional lung clearance during cough and forced expiration technique (FET): Effects of flow and viscoelasticity. Thorax 49: 557-561
25. Hirsch JA, Tokayer JL, Robinson MJ, Sackner MA 1975 Effects of dry air and subsequent humidification on tracheal mucus velocity in dogs. Journal of Applied Physiology 39: 242-246
26. Hutchings HA, Morris S, Eccles R, Jawad MSM 1993 Voluntary suppression of cough induced by inhalation of capsacian in healthy volunteers. Respiratory Medicine 87: 379-382
27. Jaworski A, Goldberg SK, Walkenstein MD, Wilson B, Lippmann ML 1988 Utility of immediate postlobectomy fiberoptic bronchoscopy in preventing atelectasis. Chest 9: 38-43
28. Jenkins S, Soutar S, Moxham J 1988 The effects of posture on lung volumes in normal subjects and in patients pre and post coronary artery surgery. Physiotherapy 74: 492-496
29. Jenkins SC 1991 Pre-operative and post-operative physiotherapy - are they necessary? In: Pryor JA (ed) Respiratory care, pp 147-168. Churchill Livingstone, Edinburgh
30. Jenkins SC, Soutar SA, LoukotaJM, Johnson LC, Moxham J 1990 A comparison of breathing exercises, incentive spirometry and mobilisation after coronary artery surgery. Physiotherapy Theory and Practice 6: 117-126
31. Kim CS, Iglesias AJ, Sackner MA 1987 Mucus clearance by two-phase gas-liquid flow mechanism: Asymmetric periodic flow model. Journal of Applied Physiology 62: 959-971
32. King M, Phillips DM, Gross D, Vartian V, Chang HK, Zidulka A 1983 Enhanced tracheal mucus clearance with high frequency chest wall compression. American Review of Respiratory Diseases 128: 511-515
33. Konrad F, Schreiber T, Brecht-Kraus D, Georgieff M 1994 Mucociliary transport in ICU patients. Chest 105: 237-241
34. Landa JF, Kwoka MA, Chapman GA, Brito M, Sackner MA 1980 Effects of suctioning on mucociliary transport. Chest 77: 202-207
35. Lannefors L, Wollmer P 1992 Mucus clearance with three chest physiotherapy regimes in cystic fibrosis: a comparison between postural drainage, PEP and physical exercise. European Respiratory Journal 5: 748-753
36. Lansing AM, Jamieson WG 1963 Mechanisms of fever in pulmonary atelectasis. Archives of Surgery 87: 184-173
37. Laurenzi G, Yin S, Guarneri J 1968 Adverse effect of oxygen on tracheal mucus flow. New England Journal of Medicine 279: 333-339
38. Le Blanc P, Ruff F, Milic-Emili J 1970 Effects of age and body position on "airway closure" in man. Journal of Applied Physiology 28: 448-451
39. Leith DE 1977 Cough. In: Brain JD, Proctor DF, Reid LM (eds) Respiratory defense mechanisms - Part 2, pp 545-592. Marcel Dekker, New York
40. Leith DE, Butler JP, Sneddon SL, Brain JD 1986 Cough. In: Macklem PT, Mead J (eds) Handbook of physiology, Vol. 3, Mechanics of breathing, part 1, pp 315-336. American Physiological Society, Maryland
41. Locke TJ, Griffiths TL, Mould H, Gibson GJ 1990 Rib cage mechanics after median sternotomy. Thorax 45: 464-468
42. Marini JJ 1983 Management of lobar atelectasis. Respiratory Care 28: 204-206
43. Marini JJ 1984 Postoperative atelectasis: Pathophysiology, clinical importance, and principles of management. Respiratory Care 29: 516-522
44. McCool FD, Leith DE 1987 Pathophysiology of cough. Clinics in Chest Medicine 8: 189-195
45. Menkes HA, Traystman RJ 1977 Collateral ventilation. American Review of Respiratory Disease 116: 287-309
46. Mitchell C, Garrahy P, Peake P 1982 Postoperative respiratory morbidity: Identification and risk factors. Australian New Zealand Journal of Surgery 52: 203-209
47. Nunn JF 1993 Nunn's applied respiratory physiology, 4th edn. Butterworths Heinemann, Oxford
48. O'Donohue WJ Jr 1992 Postoperative pulmonary complications: When are preventative and therapeutic measures necessary? Postgraduate medicine 91: 167-175
49. Oller Sales B, Armengol Carrasco M, Roig Cutillas J, de Castro Guitierrez J, Valero Millan J, Julian Ibanez J, Salva Lacombe JA 1992 Lower respiratory tract infections after abdominal operations: epidemiology and risk factors. European Journal of Surgery 58: 105-108
50. Olsen M, Hahn I, Nordgren S, Lonroth H, Lundholm K 1997 Randomized control trial of prophylactic chest physiotherapy in major abdominal surgery. British Journal of Surgery 84: 1536-1538
51. Orfanos P, Ellis ER, Johns ton C 1999 Effects of deep breathing exercises and ambulation on pattern of ventilation in post-operative patients. Australian Journal of Physiotherapy 45: 173-182
52. Peatfield AC, Richardson PS, Wells UM 1986 The effect of airflow on mucus secretion into the trachea of the cat. Journal of Physiology 380: 429-439
53. Regnis JA, Robinson M, Bailey D, Cook P, Hooper P, Chan HK, Gonda I, Bautovich G, Bye PT 1994 Mucociliary clearance in patients with cystic fibrosis and in normal subjects. American Journal of Respiratory and Critical Care Medicine 150: 66-71
54. Reines HD, Sade RM, Bradford BF, Marshall J 1982 Chest physiotherapy fails to prevent postoperative atelectasis in children after cardiac surgery. Annals of Surgery 195: 451-455
55. Richardson PS, Peatfield AC 1987 The control of airway mucus secretion. European Journal of Respiratory Diseases 71 (Suppl.) 153: 43-51
56. Ricksten S-E, Bengtsson A, Soderberg C, Thorden M, Kvist H 1986 Effects of periodic positive airway pressure by mask on postoperative pulmonary function. Chest 89: 774-781
57. Sackner MA, Hirsch J, Epstein S 1975 Effect of cuffed endotracheal tubes on tracheal mucus velocity. Chest 68: 774-777
58. Sackner MA, Hirsch JA, Epstein S, Rywlin AM 1976 Effect of oxygen in graded concentrations upon tracheal mucus velocity. Chest 69: 164-167
59. Sackner MA, Landa J, Hirsch J, Zapata A 1975 Pulmonary effects of oxygen breathing: A 6 hour study in normal men. Annals of Internal Medicine 82: 40-43
60. Simonneau G, Vivian A, Sartene R, Kinstlinger F, Samii K, Noviant Y, Duroux P 1983 Diaphragm dysfunction induced by upper abdominal surgery. American Review of Respiratory Disease 128: 899-903
61. Sleigh MA, Blake JR, Liron N 1988 The propulsion of mucus by cilia. American Review of Respiratory Disease 137: 726-741
62. Stiller K, Geake T, Taylor J, Grant R, Hall B 1990 Acute lobar atelectasis: A comparison of two chest physiotherapy regimens. Chest 98: 1336-1340
63. Stiller K, MontarelloJ, Wallace M, Daff M, Grant R, Jenkins S, Hall B, Yates H 1994 Efficacy of breathing and coughing exercises in the prevention of pulmonary complications after coronary artery surgery. Chest 105: 741-747
64. Stiller KR, Munday RM 1992 Chest physiotherapy for the surgical patient. British Journal of Surgery 79: 745-749
65. Thet LA, Clerch L, Massaro G, Massaro D 1979 Changes in sedimentation of surfactant in ventilated excised rat lungs. Journal of Clinical Investigation 64: 600-608
66. Wanner A, Salathe M, O'Riordan T 1996 Mucociliary clearance in the airways. American Journal of Respiratory and Critical Care Medicine 154: 1868-1902
67. Ward T 1998 Spinal injuries. In: Pryor JA, Webber BA (eds) Physiotherapy for respiratory and cardiac problems, pp 429-438. Churchill Livingstone, Edinburgh
68. West JB 1995 Respiratory physiology - the essentials, 5th edn. Williams & Wilkins, Baltimore
69. Windsor JA, Hill GL 1988 Risk factors for postoperative pneumonia: The importance of protein depletion. Annals of Surgery 208: 209-214
70. Yu J, Schulte HD, Goodman J, Coleridge JCG, Coleridge HM, Davis B 1989 Pulmonary rapidly adapting receptors reflexively increase airway secretion in dogs. Journal of Applied Physiology 67: 682-687
71. Zidulka A, Chrome JF, Wight DW, Burnett S, Bonnier L, Fraser R 1989 Clapping or percussion causes atelectasis in dogs and influences gas exchange. Journal of Applied Physiology 66: 2833-2838