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Related Experiment Videos

Effects of posture on postoperative pulmonary function.

K G Nielsen1, K Holte, H Kehlet

  • 1Department of Surgical Gastroenterology, Hvidovre University Hospital, Denmark.

Acta Anaesthesiologica Scandinavica
|November 18, 2003
PubMed
Summary

Changing postoperative patient position from supine to sitting or standing can improve pulmonary function. The lateral position has limited effects on lung function after surgery, highlighting the importance of posture in recovery.

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Area of Science:

  • Respiratory Medicine
  • Surgical Outcomes
  • Critical Care

Background:

  • Pulmonary morbidity remains a significant complication following major surgery, despite advancements in surgical and anesthetic techniques.
  • The impact of postoperative patient positioning on pulmonary function is not well-established, suggesting a potential pathogenic role for posture.

Purpose of the Study:

  • To review the effects of different postoperative patient positions on pulmonary function.
  • To evaluate the benefits of sitting or standing versus supine positions, and lateral versus supine positions on postoperative lung function.

Main Methods:

  • Systematic review of controlled clinical trials comparing postoperative pulmonary function in supine versus sitting/standing positions, and supine versus lateral positions.
  • Searched Medline and Cochrane databases (1966-August 2002) and reviewed bibliographies of identified studies.

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  • Included 18 studies that met the predefined inclusion criteria.

    • Main Results:

    • Six of twelve studies reported improved postoperative pulmonary function when patients were in the sitting or standing position compared to the supine position.
    • Three of six studies indicated a positive effect on pulmonary function in the lateral position compared to the supine position, suggesting limited benefits.
    • Avoiding the supine position appears to enhance postoperative pulmonary function.

    Conclusions:

    • Altering postoperative patient position from supine to sitting or standing is crucial for interpreting studies on pulmonary outcomes.
    • Strategic changes in postoperative posture can be vital for future interventions aimed at improving lung function recovery after surgery.