Document Detail

Postoperative incentive spirometry use.
MedLine Citation:
PMID:  22691669     Owner:  NLM     Status:  In-Data-Review    
The authors hypothesized that the use of incentive spirometry by orthopedic patients is less than the recommended level and is affected by patient-related factors and type of surgery. To determine its postoperative use, the authors prospectively surveyed all patients in their institution's general orthopedic ward who had undergone elective spine surgery or total knee or hip arthroplasty during a consecutive 3-month period in 2010, excluding patients with postoperative delirium or requiring a monitored bed. All 182 patients (74 men, 108 women; average age, 64.5 years; range, 32-88 years; spine group, n=55; arthroplasty group, n=127), per protocol, received preoperative spirometry education by a licensed respiratory therapist (recommended use, 10 times hourly) and reinforcement education by nurses. Patients were asked twice daily (morning and evening) regarding their spirometry use during the previous 1-hour period by a registered nurse on postoperative days 1 through 3. All data were collected by the same 2 nurses using the same standardized questionnaire. Spirometry use was correlated with surgery type, postoperative day/time, and patient's age and sex. Student's t test, Spearman test, and one-way analysis of variance were used to compare differences (P<.05). Spirometry use averaged 4.1 times per hour (range, 0-10 times). No statistical correlations were found between spirometry use and age. Sex did not influence spirometry use. The arthroplasty group reported significantly higher use than did the spine group: 4.3 and 3.5 times per hour, respectively. Mean use increased significantly between postoperative days 1, 2, and 3.
Hamid Hassanzadeh; Amit Jain; Eric W Tan; Benjamin E Stein; Megan L Van Hoy; Nadine N Stewart; Mesfin A Lemma
Related Documents :
22898749 - A prospective comparative study between differential moments and miniscrews in anchorag...
22435459 - Intravesical application of lidocaine and sodium bicarbonate in the treatment of obstru...
18613449 - Effects of mosapride citrate on patients after vagal nerve, lower esophageal sphincter,...
22695009 - What factors are associated with functional sensory recovery following lingual nerve re...
22552679 - Mean bmi of overweight and obese patients does not decrease after successful ankle reco...
22279459 - Evaluating hemodynamic outcomes of different dosages of intravenous nitroglycerin after...
18511439 - Influence of systolic-pressure-variation-guided intraoperative fluid management on orga...
8583069 - Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: ...
24987969 - Five-year follow-up of a prospective study comparing laparoscopic nissen fundoplication...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  35     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e927-31     Citation Subset:  IM    
Copyright Information:
Copyright 2012, SLACK Incorporated.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Diagnostic performance of the urinary deoxypyridinoline in spinal tuberculosis.
Next Document:  Rivaroxaban, an oral, direct factor Xa inhibitor: a new option for thromboprophylaxis.