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Incentive spirometry following thoracic surgery: what should we be doing?

Agostini, Paula and Singh, Sally (2009) Incentive spirometry following thoracic surgery: what should we be doing? Physiotherapy, 95 (2). pp. 76-82. ISSN 1873-1465. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.sciencedirect.com/science/article/pii/S...

Abstract

BACKGROUND

Thoracic surgery may cause reduced respiratory function and pulmonary complications, with associated increased risk of mortality. Postoperative physiotherapy aims to reverse atelectasis and secretion retention, and may include incentive spirometry.

OBJECTIVES

To review the evidence for incentive spirometry, examining the physiological basis, equipment and its use following thoracic surgery.

DATA SOURCES

MEDLINE was searched from 1950 to January 2008, EMBASE was searched from 1980 to January 2008, and CINAHL was searched from 1982 to January 2008, all using the OVID interface. The search term was: '[incentive spirometry.mp]'. The Cochrane Library was searched using the terms 'incentive spirometry' and 'postoperative physiotherapy'. The Chartered Society of Physiotherapy Resource Centre was also searched, and a hand search was performed to follow-up references from the retrieved studies.

REVIEW METHOD

Non-scientific papers were excluded, as were papers that did not relate to thoracic surgery or the postoperative treatment of patients with incentive spirometry.

RESULTS

Initially, 106 studies were found in MEDLINE, 99 in EMBASE and 42 in CINAHL. Eight references were found in the Cochrane Library and one paper in the Chartered Society of Physiotherapy Resource Centre. Four studies and one systematic review investigating the effects of postoperative physiotherapy and incentive spirometry in thoracic surgery patients were selected and reviewed.

CONCLUSION

Physiological evidence suggests that incentive spirometry may be appropriate for lung re-expansion following major thoracic surgery. Based on sparse literature, postoperative physiotherapy regimes with, or without, the use of incentive spirometry appear to be effective following thoracic surgery compared with no physiotherapy input.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WG Cardiovascular system. Cardiology
Divisions: Planned IP Care > Thoracic Surgery
Related URLs:
Depositing User: Preeti Puligari
Date Deposited: 28 Aug 2014 14:46
Last Modified: 28 Aug 2014 14:46
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/578

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