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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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[KINE PREOP pilot study: Prehabilitation in fast-track thoracic surgery protocol]
H Keller1, A Freynet2, M Puyraveau3
1Cabinet de Kinésithérapie Keller-Gehin, Monswiller, France.
Revue Des Maladies Respiratoires
|January 5, 2023
Summary
Prehabilitation before thoracic surgery, when delivered by independent physiotherapists, is feasible and yields results comparable to inpatient settings. This approach improved patients' physical condition and quality of life, reducing complications.
Area of Science:
- Pulmonary rehabilitation
- Thoracic surgery
- Enhanced recovery after surgery (ERAS) protocols
Context:
- Prehabilitation is expanding for thoracic surgery patients undergoing enhanced recovery after surgery (ERAS) protocols.
- Preoperative pulmonary rehabilitation is proven to reduce postoperative pulmonary complications.
- Feasibility and outcomes of prehabilitation by independent physiotherapists in private practice remain underexplored.
Purpose:
- To assess the feasibility and outcomes of prehabilitation delivered by independent physiotherapists in private practice for patients undergoing thoracic surgery.
- To compare the effectiveness of community-based prehabilitation with institutional prehabilitation.
- To evaluate the impact of prehabilitation on postoperative pulmonary complications, physical condition (VO2max), and quality of life (SF-36).
Summary:
- A non-interventional study included nine patients undergoing thoracic surgery, receiving 2-15 prehabilitation sessions from independent physiotherapists.
- Outcomes included a low rate of minor postoperative complications, an average increase in VO2max by 2.4mL.kg -1.min-1, and significant improvements in SF-36 physical scores (+17.9%).
- Sub-scores for physical functioning, physical restrictions, and vitality also showed marked improvement.
Impact:
- Prehabilitation delivered by independent physiotherapists appears feasible and effective in private practice settings.
- Results suggest that community-based prehabilitation can achieve outcomes similar to inpatient prehabilitation.
- This study supports the expansion of prehabilitation services into private physiotherapy practices for thoracic surgery patients.
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