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Early respiratory therapy reduces postoperative atelectasis in children undergoing lung resection
Patrícia Nerys Kaminski1, Luiz Alberto Forgiarini, Cristiano Feijó Andrade
1Department of Thoracic Surgery, Hospital da Criança Santo Antônio/Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Respiratory Care
|October 31, 2012
Summary
A standardized physiotherapy protocol for pediatric lung resection patients effectively reduces atelectasis and the need for bronchoscopy. However, it does not significantly impact chest tube removal time or hospital stay duration.
Area of Science:
- Pediatric Surgery
- Respiratory Physiotherapy
- Thoracic Surgery
Background:
- Postoperative pulmonary complications are common after lung resection in adults, with early physiotherapy showing benefits.
- The effectiveness and specific techniques of postoperative physiotherapy in pediatric lung resection patients remain underexplored.
- Standardization of physiotherapy protocols is needed for children undergoing lung resection.
Purpose of the Study:
- To evaluate the effectiveness of a standardized postoperative physiotherapy protocol in pediatric patients after lung resection.
- To compare outcomes between children receiving a standardized protocol and those receiving non-standardized care.
Main Methods:
- A retrospective and prospective interventional study involving 123 pediatric subjects undergoing lung resection.
- The intervention group (52 children) received a standardized protocol including positive expiratory pressure, rib cage compression, coughing, limb elevation, and early ambulation.
- A historical control group (71 children) received non-standardized physiotherapy techniques.
Main Results:
- The standardized physiotherapy group showed significantly fewer instances of atelectasis (7.6%) compared to the control group (15.4%).
- Fewer patients in the standardized group required fiberoptic bronchoscopy for bronchial toilet (9.6%) versus the control group (19.7%).
- No significant differences were observed in chest tube drainage time or hospital stay duration between the groups.
Conclusions:
- A standardized physiotherapy protocol in pediatric lung resection patients effectively decreases atelectasis.
- The protocol reduces the likelihood of requiring bronchoscopy for bronchial toilet.
- The standardized protocol did not lead to a reduction in chest tube removal time or overall hospital stay.
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