@article{Azambuja_Souza_Ranzoni_Wioppiold_Muzykant_Costa_Trevisan_Santos_2016, title={Volumetric incentive spirometer and positive pressure after cardiac surgery}, volume={4}, url={https://periodicos.ufrn.br/revistadefisioterapia/article/view/7943}, abstractNote={<p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><strong><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">Background:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">Most </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">patients that undergo cardiac surgery develop post-operative pulmonary complications. </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">The use of an incentive spirometer associated </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">withpositive end-expiratory pressure (PEEP) and non-invasive ventilation (NIV) may contribute to the reduction of such complications. </span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><strong><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">Objective:</span></strong><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US"> To compare the efficacy of an incentive spirometer associated with </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">positive end-expiratory pressure</span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US"> to NIV in pulmonary complications in the PO of heart surgery during hospitalization in the intensive care unit (ICU). </span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US"><strong>Methods:</strong> A randomized clinical trial conducted </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-fareast-font-family: ’Times New Roman’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: PT-BR;" lang="EN-US">from July 2012 to July 2015 at the ULBRA Mãe de Deus University Hospital -Canoas/RS. Patients were randomized into three groups: Group I – NIV; group II - </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-fareast-font-family: ’Times New Roman’; mso-bidi-font-family: ’Courier New’; color: #212121; mso-ansi-language: EN; mso-fareast-language: PT-BR;" lang="EN">volumetric</span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">incentive spirometer (IS) associated </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-fareast-font-family: ’Times New Roman’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: PT-BR;" lang="EN-US">with positive end-expiratory pressure (PEEP) (IS+EPAP); and group III - conventional (CG). The three groups received motor physiotherapy. Post-operative monitoring of pulmonary complications was performed through radiology service reports until the time of discharge from the ICU. </span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-fareast-font-family: ’Times New Roman’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: PT-BR;" lang="EN-US"><strong>Results:</strong> 49 patients were included in the study, 13 patients in Group I, 16 patients in Group II and 20 patients in Group III. The average age of Group I was </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">61.7 ± 10.4 </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">years, </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">61.4 ± 10.2 </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">years in Group II, and </span><span style="font-size: 12.0pt; line-height: 150%; font-family: ’Cambria’,’serif’; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US;" lang="EN-US">62.9 ± 11.5 </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">years in Group III. Atelectasis was the pulmonary complication that had the highest statistical significance when comparing the three groups in the immediate PO (p=0.035). </span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US"><strong>Conclusion:</strong> When comparing non-invasive ventilation (NIV) to incentive spirometry (IS) associated with </span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">positive end-expiratory pressure (PEEP) or respiratory exercises</span><span style="font-size: 12pt; line-height: 150%; font-family: Cambria, serif;" lang="EN-US">, we could not conclude that this particular technique is superior in relation to the decrease of pulmonary complications.</span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify; line-height: 150%; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;"> </p><div><div><div id="_com_1" class="msocomtxt"><!--[if !supportAnnotations]--></div><!--[endif]--></div></div>}, number={1}, journal={Journal of Respiratory and CardioVascular Physical Therapy}, author={Azambuja, Aline C. M and Souza, Milene A and Ranzoni, Eduarda P and Wioppiold, Juliana S and Muzykant, Lizia Marcela P and Costa, Pricila O and Trevisan, Cristiane B.E and Santos, Laura J}, year={2016}, month={Sep.}, pages={21–28} }