The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial
The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial
Aim: This study aims to assess the effect of pre-operative breathing exercises provided to patientsundergoing open-heart operation on atelectasis development during the post-operative period.Method: This randomized controlled study was conducted with 48 patients hospitalized for open-heartsurgery. Training was provided to the patients in the experimental group in the form of breathing exercisesand spirometry and the instructed exercises were performed by the patients for 7 days before theoperation. The patients in both groups were assessed in terms of atelectasis during post-operative days.Results: The proportion of atelectasis development on the post-op 0th day was 71% in the experimentalgroup and 92% in the control group. In terms of average peripheral oxygen saturation, the patients in theexperimental group had higher oxygen saturation than the patients in the control group (p
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- Arslangiray, D. (2010). The effect of the deep breathing exercise
training with spirometry before coronary artery bypass greft
on the ventilation after operation (Dissertation, Dokuz Eylül
University, Turkey).
- Babayiğit, M., Özgencil, G., Çatav, S., Denker, Ç., & Babayiğit, A.
(2012). Effect of ventilation during cardiopulmonary bypass
in open heart surgery on postoperative pulmonary functions.
Journal of Anesthesia, 20(2), 92–98.
- Ball, L., Costantino, F., & Pelosi, P. (2016) Aug. Postoperative
complications of patients undergoing cardiac surgery.
Current Opinion in Critical Care, 22(4), 386–392.
- Barrera, R., Shi, W., Amar, D., Thaler, H. T., Gabovich, N., Bains, M.
S., & White, D. A. (2005). Smoking and timing of cessation:
Impact on pulmonary complications aſter thoracotomy.
Chest, 127(6), 1977–1983. http://dx.doi.org/10.1378/
chest.127.6.1977
- Başoğlu, Ö. K. (2001). Toraks dışı cerrahide preoperatif
solunumsal değerlendirme [Pre-operative respiratory
assessment in operations excluding torachs]. Türk Toraks
Derneği, 12(2),75–82.
- Bluman, L., Mosca, L., Newman, N., & Simon, D. G. (1998).
Preoperative smoking habits and postoperative pulmonary
complications. Chest, 113(4), 883–889.
- Çağlı, K., Yıldız, Ü., Demirkıran, M. S., & Uncu, H. (2003). Açık kalp
cerrahisinde preoperatif solunum sistemi değerlendirilmesi
ve postoperatif akciğer komplikasyonları [Evaluation of
preoperative respiratory system in open heart surgery and
postoperative lung complications] Arşiv Kaynak Tarama
Dergisi, 12(1), 45–54. http://dx.doi.org/10.17827/aktd.19283
- Graybill, W. S., Frumovitz, M., Nick, A. M., Wei, C., Mena, G. E.,
Soliman, P. T. … Ramirez, P. T. (2012). Impact of smoking on
perioperative pulmonary and upper respiratory complications
after laparoscopic gynecologic surgery. Gynecologic
Oncology, 125(3), 556–560. http://dx.doi.org/10.1016/j.
ygyno.2012.03.020
- Hanözü, M. (2006). Açık kalp cerrahisi sonrası gelişen torasik
komplikasyonlar (Master thesis, Siyami Ersek Göğüs Kalp ve
Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Turkey).
Retrived from http://www.istanbulsaglik.gov.tr/w/tez/pdf/
gogus_cerrahi/dr_murat_hanozu.pdf
- Hulzebos, E., Helders, P., Favie, N., De Bie, R., Riviere, M. D.,
Nico, L., & Meeteren, V. (2006). Preoperative intensive
inspiratory muscle training to prevent postoperative
pulmonary complications in high – risk patients undergoing
CABG surgery. The Journal of the American Medical
Association, 296(15),1851–1857. http://dx.doi.org/10.1001/
jama.296.15.1851
- Neves, F., Carmona, M., Jr, JOC., Rodrigues, R., Rouby, J. J., &
Malbouisson, L. (2013). Cardiac compression of lung lower
lobes after coronary artery bypass graft with cardiopulmonary
bypass. PLoS ONE, 8(11), e78643. http://dx.doi.org/10.1371/
journal.pone.0078643
- Karadakovan, A., & Aslan, F. (Eds.) (2011). Dahili ve cerrahi
hastalıklarda bakım [ Medical and Surgical Care]. Adana,
Turkey: Nobel Yayınevi.
- Karagözoğlu, Ş., Dönmez, A., Özden, D., & Tel, H. (2013). Nurses’
knowledge and practices regarding chest physiotherapy.
İzmir Göğüs Hastanesi Dergisi, 27(2), 95–104.
- Moller, A. M., Villebro, N., Pedersen, T., & Tonnesen, H. (2002).
Effect of preoperative smoking intervention on postoperative
complications: A randomised clinical trial. Lancet, 359, 114–
117. http://dx.doi.org/10.1016/S0140-6736(02)07369-5
- Rudra, A., & Sudipta, D. (2006). Postoperative pulmonary
complications. Indian Journal of Anaesthesia, 50(2), 89–98.
- Özkan, M., Kırkıl, G., Görek Dilektaşlı, A., Söğüt, A.,
Sertoğullarından, B., Çetinkaya, E. … Sezer, M. (2015).
Preoperatif değerlendirme konsensus raporu özeti. Turk
Toraks Dergisi, 16(1), 43–52. http://dx.doi.org/10.5152/
ttd.2014.4505
- Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (Eds.)
(2013). Fundamentals of nursing. St Louis Missouri, NY: Elsevier.
Sin, D. D. (2008). Postoperative pulmonary complications: What
every general practitioner ought to know. British Columbia
Medical Journal, 50(3), 152–154.
- Tusman, G., Böhm, S. H., Warner, D. O., & Sprung, J. (2012).
Atelectasis and perioperative pulmonary complications in
high-risk patients. Current Opinion in Anesthesiology, 25(1),
1–10. http://dx.doi.org/10.1097/ACO.0b013e32834dd1eb.
- Türk Toraks Derneği (Turkish Thoracic Society) (2014). PreOperatif
değerlendirme uzlaşı raporu. Retrived from http://
www.toraks.org.tr/userfiles/file/PREOPERAT%C4%B0F%20
DE%C4%9EERLEND%C4%B0RME-Uzla%C5%9F%C4%B1%20
raporu%281%29.pdf
- Urell, C., Westerdahl, E., Hedenström, H., Janson, C., & Emtner,
M. (2012). Lung function before and two days after openheart
surgery. Critical Care Research and Practice, 2012, 1-7.
http://dx.doi.org/10.1155/2012/291628