Comparison of Diaphragmatic Breathing Exercise, Volume and Flow Incentive Spirometry, on Diaphragm Excursion and Pulmonary Function in Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Trial
| Autor: | Alfred Joseph Augustine, Anand R, Gopala Krishna Alaparthi, Ajith Mahale |
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| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Vital capacity Article Subject medicine.medical_treatment lcsh:Surgery Diaphragmatic breathing law.invention Pulmonary function testing 03 medical and health sciences FEV1/FVC ratio 0302 clinical medicine Randomized controlled trial law medicine 030212 general & internal medicine business.industry lcsh:RD1-811 Surgery Diaphragm (structural system) 030228 respiratory system Anesthesia Clinical Study business Abdominal surgery |
| Zdroj: | Minimally Invasive Surgery Minimally Invasive Surgery, Vol 2016 (2016) |
| ISSN: | 2090-1445 |
| Popis: | 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. All of them underwent evaluation of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow Rate (PEFR), and diaphragm excursion measurement by ultrasonography before the operation and on the first and second postoperative days. With the level of significance set atp<0.05.Results.Pulmonary function and diaphragm excursion showed a significant decrease on the first postoperative day in all four groups (p<0.001) but was evident more in the control group than in the experimental groups. On the second postoperative day pulmonary function (Forced Vital Capacity) and diaphragm excursion were found to be better preserved in volume incentive spirometry and diaphragmatic breathing exercise group than in the flow incentive spirometry group and the control group. Pulmonary function (Forced Vital Capacity) and diaphragm excursion showed statistically significant differences between volume incentive spirometry and diaphragmatic breathing exercise group (p<0.05) as compared to that flow incentive spirometry group and the control group.Conclusion. Volume incentive spirometry and diaphragmatic breathing exercise can be recommended as an intervention for all patients pre- and postoperatively, over flow-oriented incentive spirometry for the generation and sustenance of pulmonary function and diaphragm excursion in the management of laparoscopic abdominal surgery. |
| Databáze: | OpenAIRE |
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