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Related Experiment Video

Updated: May 21, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Published on: January 30, 2026

Postoperative incentive spirometry use.

Hamid Hassanzadeh¹, Amit Jain, Eric W Tan

¹Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland 21224-2780, USA.

|June 14, 2012

Summary

This summary is machine-generated.

Orthopedic patients used incentive spirometry less than recommended. Arthroplasty patients used it more than spine surgery patients, with use increasing post-surgery.

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Last Updated: May 21, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Published on: January 30, 2026

Area of Science:

Medical
Respiratory Therapy
Orthopedic Surgery

Background:

Incentive spirometry (IS) is crucial for postoperative pulmonary care in orthopedic patients.
Recommended IS use is 10 times hourly, but adherence is often suboptimal.
Factors influencing IS use, such as surgery type and patient characteristics, require investigation.

Purpose of the Study:

To evaluate the postoperative use of incentive spirometry in orthopedic patients.
To determine if IS use is below recommended levels.
To identify patient-related factors and surgery types affecting IS adherence.

Main Methods:

Prospective survey of 182 orthopedic patients (spine surgery, hip/knee arthroplasty) over 3 months.
Standardized preoperative education and twice-daily postoperative questioning on IS use (postoperative days 1-3).
Statistical analysis (t-test, Spearman, ANOVA) to correlate IS use with surgery type, day, time, age, and sex.

Main Results:

Average IS use was 4.1 times/hour, significantly below the recommended 10 times/hour.
Arthroplasty patients reported higher IS use (4.3 times/hour) than spine surgery patients (3.5 times/hour).
IS use significantly increased from postoperative day 1 to day 3; no correlation with age or sex.

Conclusions:

Postoperative incentive spirometry use in orthopedic patients falls short of recommended levels.
Arthroplasty patients demonstrate better adherence to IS compared to spine surgery patients.
IS use improves throughout the early postoperative period, suggesting potential for enhanced adherence strategies.