Document Detail


Feasibility of preoperative inspiratory muscle training in patients undergoing coronary artery bypass surgery with a high risk of postoperative pulmonary complications: a randomized controlled pilot study.
MedLine Citation:
PMID:  17065538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine in a pilot study the feasibility and effects of preoperative inspiratory muscle training in patients at high risk of postoperative pulmonary complications who were scheduled for coronary artery bypass graft surgery. DESIGN: Single-blind, randomized controlled pilot study. SETTING: University Medical Centre Utrecht, the Netherlands. SUBJECTS: Twenty-six patients at high risk of postoperative pulmonary complications were selected. INTERVENTION: The intervention group (N = 14) received 2-4 weeks of preoperative inspiratory muscle training on top of the usual care received by the patients in the control group. MAIN MEASURES: Primary outcome variables of feasibility were the occurrence of adverse events, and patient satisfaction and motivation. Secondary outcome variables were postoperative pulmonary complications and length of hospital stay. RESULTS: The feasibility of inspiratory muscle training was good and no adverse events were observed. Treatment satisfaction and motivation, scored on 10-point scales, were 7.9 (+/- 0.7) and 8.2 (+/- 1.0), respectively. Postoperative atelectasis occurred in significantly fewer patients in the intervention group than in the control group (kappa(2)(DF1) = 3.85; P = 0.05): Length of hospital stay was 7.93 (+/- 1.94) days in the intervention group and 9.92 (+/- 5.78) days in the control group (P = 0.24). CONCLUSION: Inspiratory muscle training for 2-4 weeks before coronary artery bypass graft surgery was well tolerated by patients at risk of postoperative pulmonary complications and prevented the occurrence of atelectasis in these patients. A larger randomized clinical trial is warranted.
Authors:
Erik H J Hulzebos; Nico L U van Meeteren; Bram J W M van den Buijs; Rob A de Bie; A Brutel de la Rivière; Paul J M Helders
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  20     ISSN:  0269-2155     ISO Abbreviation:  Clin Rehabil     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-26     Completed Date:  2007-01-30     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  949-59     Citation Subset:  IM    
Affiliation:
Section Rehabilitation, Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, The Netherlands. h.hulzebos@umcutrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Breathing Exercises*
Coronary Artery Bypass / adverse effects*
Female
Humans
Inhalation
Length of Stay
Male
Outcome Assessment (Health Care)
Patient Satisfaction
Pilot Projects
Postoperative Complications / prevention & control*
Preoperative Care*
Pulmonary Atelectasis / epidemiology,  prevention & control*
Respiratory Function Tests
Risk Factors
Single-Blind Method

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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