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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Evidence-based Practice Interventions for Reducing Postoperative Pulmonary Complications: A Narrative Review
Gagandeep Dhillon1, Venkata S Buddhavarapu2, Harpreet Grewal3
1Department of Internal Medicine. University of Maryland Baltimore Washington Medical Center, Glen Burnie, MD, USA.
The Open Respiratory Medicine Journal
|April 24, 2024
Summary
Postoperative pulmonary complications (PPCs) after surgery can be reduced by lung expansion interventions. Combining multiple treatments showed improved pulmonary function, but more research is needed.
Area of Science:
- Pulmonary Medicine
- Surgical Complications
- Evidence-Based Practice
Background:
- Upper abdominal and thoracic surgery increase the risk of postoperative pulmonary complications (PPCs).
- PPCs incidence ranges from 20-90% following upper abdominal surgery.
- Interventions promoting lung expansion can minimize PPCs.
Purpose of the Study:
- To review evidence-based interventions for preventing PPCs.
- To assess the effectiveness of lung expansion techniques in reducing postoperative pulmonary complications.
Main Methods:
- Literature search from January 2007 to December 2022 in PubMed and Google Scholar.
- Included experimental, observational studies, systematic reviews.
- Focused on preoperative education, incentive spirometry, early mobilization, directed coughing, deep breathing exercises, chest physiotherapy, and inspiratory muscle training (IMT).
Main Results:
- A total of 22 articles were reviewed, including 13 RCTs.
- Evidence for individual interventions like incentive spirometry and IMT was mixed.
- Some studies showed effectiveness, while others found no significant difference.
Conclusions:
- Patients receiving multiple interventions demonstrated improved postoperative pulmonary function.
- Further definitive studies are required to confirm the efficacy of combined interventions.
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