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Non-Intubated Video-Assisted Thoracoscopic Surgery
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Incentive spirometry in major surgeries: a systematic review.

Celso R F Carvalho1, Denise M Paisani, Adriana C Lunardi

  • 1Physical Therapy Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. cscarval@usp.br

Revista Brasileira De Fisioterapia (Sao Carlos (Sao Paulo, Brazil))
|October 18, 2011
PubMed
Summary
This summary is machine-generated.

This systematic review found no evidence supporting incentive spirometry (IS) for preventing pulmonary complications or improving lung function recovery in surgical patients. IS use remains common but lacks standardization in clinical practice.

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Area of Science:

  • Pulmonary Medicine
  • Surgical Care
  • Evidence-Based Practice

Background:

  • Postoperative pulmonary complications are a significant concern following major surgeries.
  • Incentive spirometry (IS) is a widely adopted intervention aimed at mitigating these complications and aiding lung function recovery.
  • Current clinical practice often involves routine IS use without robust evidence of its efficacy.

Purpose of the Study:

  • To systematically review and evaluate the existing evidence on the effectiveness of incentive spirometry (IS) in preventing postoperative pulmonary complications.
  • To assess the impact of IS on the recovery of pulmonary function in patients undergoing abdominal, cardiac, and thoracic surgeries.
  • To synthesize findings from randomized controlled trials (RCTs) to inform clinical practice guidelines.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (Medline, Embase, Web of Science, PEDro, Scopus).
  • Randomized controlled trials investigating the use of IS in the perioperative period were selected.
  • Study quality was assessed using the PEDro scale, with independent review by two researchers.

Main Results:

  • Thirty RCTs involving 3,370 patients were included in the review.
  • Methodological quality scores (PEDro scale) varied across surgical types, indicating moderate study quality.
  • Five studies directly comparing IS to a control group found no significant difference in the evaluated outcomes.

Conclusions:

  • The current evidence does not support the routine use of incentive spirometry for surgical patients.
  • Despite a lack of supporting evidence, IS remains a prevalent intervention in clinical settings.
  • Further research and standardization of IS protocols are warranted to clarify its role in postoperative care.