Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery

Chest

Volumn 128, Issue 5, 2005, Pages 3482-3488

  Westerdahl, Elisabeth ^a,b   Lindmark, Birgitta ^a   Eriksson, Tomas ^b   Friberg, Örjan ^b   Hedenstierna, Göran ^a   Tenling, Arne ^c  

^a UPPSALA UNIVERSITY HOSPITAL   (Sweden)

^b ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

^c KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Atelectasis; Breathing exercises; Cardiac surgery; Coronary artery bypass; CT; Physical therapy; Postoperative care; Postoperative complications; Thoracic surgery

Indexed keywords

ADULT; AGED; ARTERIAL GAS; ARTICLE; ATELECTASIS; BREATHING; CARBON DIOXIDE TENSION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DEEP BREATHING EXERCISE; DEVICE; EXERCISE; FEMALE; FORCED EXPIRATORY VOLUME; HOSPITALIZATION; HUMAN; INSPIRATORY CAPACITY; INTENSIVE CARE UNIT; LUNG FUNCTION; MALE; OXYGEN TENSION; PATIENT POSITIONING; PHYSIOTHERAPY; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; SPIROMETRY; STATISTICAL SIGNIFICANCE; TREATMENT OUTCOME; VITAL CAPACITY;

EID: 28144463368     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.128.5.3482     Document Type: Article

References (23)

1. Crowe JM, Bradley CA. The effectiveness of incentive spirometry with physical therapy for high-risk patients after coronary artery bypass surgery. Phys Ther 1997; 77:260-268
2. Johnson D, Kelm C, To T, et al. Postoperative physical therapy after coronary artery bypass surgery. Am J Respir Crit Care Med 1995; 152:953-958
3. Jenkins SC, Soutar SA, Loukota JM, et al. Physiotherapy after coronary artery surgery: are breathing exercises necessary? Thorax 1989; 44:634-639
4. Stiller K, Montarello J, Wallace M, et al. Efficacy of breathing and coughing exercises in the prevention of pulmonary complications after coronary artery surgery. Chest 1994; 105:741-747
5. Brasher PA, McClelland KH, Denehy L, et al. Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes? Aust J Physiother 2003; 49:165-173
6. Pasquina P, Tramer MR, Walder B. Prophylactic respiratory physiotherapy after cardiac surgery: systematic review. BMJ 2003; 327:1379
7. Westerdahl E, Lindmark B, Eriksson T, et al. The immediate effects of deep breathing exercises on atelectasis and oxygenation after cardiac surgery. Scand Cardiovasc J 2003; 37:363-367
8. Matte P, Jacquet L, Van Dyck M, et al. Effects of conventional physiotherapy, continuous positive airway pressure and non-invasive ventilatory support with bilevel positive airway pressure after coronary artery bypass grafting. Acta Anaesthesiol Scand 2000; 44:75-81
9. Overend TJ, Anderson CM, Lucy SD, et al. The effect of incentive spirometry on postoperative pulmonary complications: a systematic review. Chest 2001; 120:971-978
10. Quanjer PH, Tammeling GJ, Cotes JE, et al. Lung volumes and forced ventilatory flows: Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal; Official Statement of the European Respiratory Society. Eur Respir J Suppl 1993; 16:5-40
11. Brismar B, Hedenstierna G, Lundquist H, et al. Pulmonary densities during anesthesia with muscular relaxation: a proposal of atelectasis. Anesthesiology 1985; 62:422-428
12. Lundquist H, Hedenstierna G, Strandberg A, et al. CT-assessment of dependent lung densities in man during general anaesthesia. Acta Radiol 1995; 36:626-632
13. Hedenstierna G, Lundquist H, Lundh B, et al. Pulmonary densities during anaesthesia: an experimental study on lung morphology and gas exchange. Eur Respir J 1989; 2:528-535
14. Gattinoni L, Pesenti A, Bombino M, et al. Relationships between lung computed tomographic density, gas exchange, and PEEP in acute respiratory failure. Anesthesiology 1988; 69:824-832
15. Lindberg P, Gunnarsson L, Tokics L, et al. Atelectasis and lung function in the postoperative period. Acta Anaesthesiol Scand 1992; 36:546-553
16. Johnson NT, Pierson DJ. The spectrum of pulmonary atelectasis: pathophysiology, diagnosis, and therapy. Respir Care 1986; 31:1107-1120
17. Woodring JH, Reed JC. Types and mechanisms of pulmonary atelectasis. J Thorac Imaging 1996; 11:92-108
18. Westerdalil E, Lindmark B, Almgren SO, et al. Chest physiotherapy after coronary artery bypass graft surgery: a comparison of three different deep breathing techniques. J Rehabil Med 2001; 33:79-84
19. Oikkonen M, Karjalainen K, Kahara V, et al. Comparison of incentive spirometry and intermittent positive pressure breathing after coronary artery bypass graft. Chest 1991; 99:60-65
20. Jenkins SC, Soutar SA, Forsyth A, et al. Lung function after coronary artery surgery using the internal mammary artery and the saphenous vein. Thorax 1989; 44:209-211
21. Anjou-Lindskog E, Broman L, Broman M, et al. Effects of oxygen on central haemodynamics and VA/Q distribution after coronary bypass surgery. Acta Anaesthesiol Scand 1983; 27:378-384
22. Rothen HU, Sporre B, Engberg G, et al. Influence of gas composition on recurrence of atelectasis after a reexpansion maneuver during general anesthesia. Anesthesiology 1995; 82:832-842
23. Marshall BE, Hanson CW, Frasch F, et al. Role of hypoxic pulmonary vasoconstriction in pulmonary gas exchange and blood flow distribution: 2. Pathophysiology. Intensive Care Med 1994; 20:379-389