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Anaesthesia May 1995
Topics: Analgesics, Opioid; Anesthetics; Humans; Postoperative Period; Shivering
PubMed: 7793559
DOI: 10.1111/j.1365-2044.1995.tb06008.x -
Effects of the breath stacking technique after upper abdominal surgery: a randomized clinical trial.Jornal Brasileiro de Pneumologia :... 2022To evaluate the effect of the association of the breath stacking (BS) technique associated with routine physiotherapy on pulmonary function, lung volumes, maximum... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To evaluate the effect of the association of the breath stacking (BS) technique associated with routine physiotherapy on pulmonary function, lung volumes, maximum respiratory pressures, vital signs, peripheral oxygenation, thoracoabdominal mobility, and pain in the surgical incision in patients submitted to upper abdominal surgery during the postoperative period, as well as to analyze BS safety.
METHODS
This was a randomized clinical trial involving 34 patients divided into a control group (CG; n = 16), who underwent conventional physiotherapy only, and the BS group (BSG; n = 18), who underwent conventional physiotherapy and BS. Both groups performed two daily sessions from postoperative day 2 until hospital discharge. The primary outcomes were FVC and Vt. The safety of BS was assessed by the incidence of gastrointestinal, hemodynamic, and respiratory repercussions.
RESULTS
Although FVC significantly increased at hospital discharge in both groups, the effect was greater on the BSG. Significant increases in FEV1, FEV1/FVC ratio, PEF, and FEF25-75% occurred only in the BSG. There were also significant increases in Ve and Vt in the BSG, but not when compared with the CG values at discharge. MIP and MEP significantly increased in both groups, with a greater effect on the BSG. There was a significant decrease in RR, as well as a significant increase in SpO2 only in the BSG. SpO2 acutely increased after BS; however, no changes were observed in the degree of dyspnea, vital signs, or signs of respiratory distress, and no gastrointestinal and hemodynamic repercussions were observed.
CONCLUSIONS
BS has proven to be safe and effective for recovering pulmonary function; improving lung volumes, maximum respiratory pressures, and peripheral oxygenation; and reducing respiratory work during the postoperative period after upper abdominal surgery.
Topics: Dyspnea; Humans; Lung; Lung Volume Measurements; Postoperative Complications; Postoperative Period
PubMed: 35293484
DOI: 10.36416/1806-3756/e20210280 -
Anesthesiology Sep 2023
Topics: Humans; Postoperative Care; Preoperative Care; Postoperative Period
PubMed: 37402270
DOI: 10.1097/ALN.0000000000004637 -
The Journal of Thoracic and... Dec 2018
Topics: Humans; Pneumonectomy; Postoperative Period; Respiratory Insufficiency
PubMed: 30318358
DOI: 10.1016/j.jtcvs.2018.09.008 -
Minerva Anestesiologica Jun 2022
Topics: Humans; Meperidine; Postoperative Complications; Postoperative Period; Shivering
PubMed: 35416469
DOI: 10.23736/S0375-9393.22.16624-1 -
Minerva Anestesiologica Apr 2016Benzodiazepines are frequently used as a premedication. In day-case surgery, anesthetists are reluctant to administer benzodiazepines preoperatively for reasons of... (Meta-Analysis)
Meta-Analysis Review
INTRODUCTION
Benzodiazepines are frequently used as a premedication. In day-case surgery, anesthetists are reluctant to administer benzodiazepines preoperatively for reasons of delayed recovery. However, premedication with benzodiazepines might be beneficial regarding postoperative somatic symptoms/complaints (i.e. time to recovery and postoperative side effects) and psychological phenomena.
EVIDENCE ACQUISITION
A systematic review with meta-analysis was performed using all important search engines. Study methodological quality was assessed using risk of bias tables. Mean differences (MD) and odds ratios (OR) were used for continuous data (time to recovery and psychological phenomena) and categorical data (postoperative somatic symptoms) respectively. Random effects modelling was applied. Nineteen studies were included. Overall time to recovery was significantly delayed in patients receiving benzodiazepines (MD 1.75; 95% CI 0.82 to 2.69) although time to discharge was not significantly affected. Postoperative side effects were significantly reduced in patients receiving benzodiazepines (OR 0.47; 95% CI 0.36 to 0.63). Regarding psychological outcome, only anxiety could be statistically analyzed showing no statistical difference (MD 1.47; 95% CI -1.01 to 3.96).
EVIDENCE SYNTHESIS
Although overall time to recovery was significantly prolonged by benzodiazepine premedication, withholding premedication in day-case surgery patients is not justified for such reason, as time to discharge was not negatively affected. Furthermore, benzodiazepines show to have beneficial effects on postoperative side effects.
CONCLUSIONS
For a firm conclusion regarding psychological phenomena, more research is needed. Anaesthetists should take into account this new evidence when they apply their premedication regime in day-case surgery.
Topics: Ambulatory Surgical Procedures; Anesthesia Recovery Period; Anesthesiologists; Anxiety; Attitude of Health Personnel; Benzodiazepines; Humans; Postoperative Period; Premedication; Recovery of Function; Time Factors
PubMed: 26418233
DOI: No ID Found -
Journal of Vascular Surgery Apr 2019
Topics: Humans; Morbidity; Postoperative Period; Specialties, Surgical
PubMed: 30459014
DOI: 10.1016/j.jvs.2018.06.218 -
Journal of Vascular Surgery Mar 2019
Topics: Anemia; Aortic Aneurysm, Abdominal; Endovascular Procedures; Humans; Postoperative Period
PubMed: 30685197
DOI: 10.1016/j.jvs.2018.05.256 -
Neuro-oncology Aug 2018
Topics: Glioblastoma; Humans; Neurosurgeons; Postoperative Period; Prognosis; Tumor Burden
PubMed: 29850837
DOI: 10.1093/neuonc/noy081 -
Anaesthesia Mar 2021
Topics: Child; Conscious Sedation; Dexmedetomidine; Humans; Hypnotics and Sedatives; Postoperative Period
PubMed: 32578205
DOI: 10.1111/anae.15169