[논문]Reduction in pulmonary complications in high risk patients undergoing surgery for total hip replacement under general anesthesia by preoperative intensive inspiratory muscle training : A randomized controlled clinical trial

Ma, B.; Bao, H.

doi:10.1016/S1007-4376(09)60079-4

Reduction in pulmonary complications in high risk patients undergoing surgery for total hip replacement under general anesthesia by preoperative intensive inspiratory muscle training : A randomized controlled clinical trial

Journal of Nanjing Medical University = 南京醫科大學學報 (英文版), v.23 no.5, 2009년, pp.328 - 334

Ma, B. (Department of Anesthesiology, Nanjing First Hospital affiliated to Nanjing Medical University, Nanjing 210006, China) , Bao, H.

Abstract ▼ AI-Helper

Objective: To evaluate the effects of preoperative inspiratory muscle training (IMT) on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective total hip replacement surgery under general anesthesia. Methods: Thirty two high-risk patients undergoing elective total hip replacement surgery under general anesthesia were chosen from Nanjing Medical University, Affiliated Nanjing First Hospital. In this single-blind randomized controlled clinical trial, patients were randomly assigned to receive preoperative inspiratory muscle training or conventional treatment (CT). The major effectiveness outcome variables were atelectasis and duration of postoperative hospitalization. Results: Both groups were comparable prior to surgery. Seven patients in the CT group and 3 in the IMT group developed atelectasis (P = 0.25). Median duration of postoperative hospitalization was 13 days (range, 10∼17 days) in the IMT group versus 16 days (range, 11∼23 days) in the CT group (Mann- Whitney U statistics, Z = -2.22, P = 0.03). Mean postoperative inspiratory pressure was 5% higher in the IMT group. Conclusion: Preoperative intensive inspiratory muscle training appears to reduce the incidence of atelectasis and duration of postoperative hospitalization in patients at high risk of developing postoperative pulmonary complications who were scheduled for elective total hip replacement surgery under general anesthesia.

주제어

참고문헌 (41)

Br Med J Gillespie 322 968 2001 10.1136/bmj.322.7292.968 Extracts from “clinical evidence”: hip fracture

상세보기
J Bone Joint Surgy Am Lee 80 70 1998 10.2106/00004623-199801000-00012 Total hip arthroplasty for the treatment of an acute fracture of the femoral neck: long term results

상세보기
Arch Orthop Trauma Surg Gdalevich 124 334 2004 10.1007/s00402-004-0662-9 Morbidity and mortality after hip fracture: the impact of operative delay

상세보기
J Bone Joint Surg Br Weller 87 361 2005 10.1302/0301-620X.87B3.15300 The effect of hospital type and surgical delay on mortality after surgery for hip fracture

상세보기
Br Med J Bottle 332 947 2006 10.1136/bmj.38790.468519.55 Mortality associated with delay in operation after hip fracture: observational study

상세보기
J Arthroplasty Shah 19 700 2004 10.1016/j.arth.2004.02.034 Comorbid illness affects hospital costs related to hip arthroplasty: quantification of health status and implications for fair reimbursement and surgeon comparisons

상세보기
Heart Lung Brooks Brunn 24 94 1995 10.1016/S0147-9563(05)80004-4 Postoperative atelectasis and pneumonia

상세보기
Cleve Clin J Med Hayden 62 401 1995 10.3949/ccjm.62.6.401 Postoperative pulmonary complications: risk assessment, prevention, and treatment
Am J Respir Crit Care Med McAlister 171 514 2005 10.1164/rccm.200408-1069OC Incidence of and risk factors for pulmonary complications after nonthoracic surgery

상세보기
Am J Med Fleischmann 115 515 2003 10.1016/S0002-9343(03)00474-1 Association between cardiac and noncardiac complications in patients undergoing noncardiac surgery: outcomes and effects on length of stay

상세보기
J Am Geriatr Soc Hamel 53 424 2005 10.1111/j.1532-5415.2005.53159.x Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery

상세보기
Physiother Can Brooks 53 9 2001 A clinical practice guideline on perioperative cardiorespiratory physical therapy

상세보기
Arch Phys Med Rehabil Chumillas 79 5 1998 10.1016/S0003-9993(98)90198-8 Prevention of postoperative pulmonary complications through respiratory rehabilitation: a controlled clinical study

상세보기
World J Surg Weiner 22 427 1998 10.1007/s002689900410 Prophylactic inspiratory muscle training in patients undergoing coronary artery bypass graft

상세보기
Chest Nomori 105 1782 1994 10.1378/chest.105.6.1782 Preoperative respiratory muscle training. Assessment in thoracic surgery patients with special reference to postoperative pulmonary complications

상세보기
JAMA Hulzebos 296 1851 2006 10.1001/jama.296.15.1851 Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial

상세보기
Clin Rehabil Hulzebos 20 949 2006 10.1177/0269215506070691 Feasibility of preoperative inspiratory muscle training in patients undergoing coronary artery bypass surgery with a high risk of postoperative pulmonary complications: a randomized controlled pilot study

상세보기
Clinical Rehabilitation Dronkers 22 134 2008 10.1177/0269215507081574 Prevention of pulmonary complications after upper abdominal surgery by preoperative intensive inspiratory muscle training: a randomized controlled pilot study

상세보기
N Engl J Med Smetana 340 937 1999 10.1056/NEJM199903253401207 Preoperative pulmonary evaluation

상세보기
Clin Geriatr Med Smetana 19 35 2003 10.1016/S0749-0690(02)00051-4 Preoperative pulmonary assessment of the older adult

상세보기
Ann Intern Med Smetana 140 452 2004 10.7326/0003-4819-140-6-200403160-00012 Update in perioperative medicine

상세보기
Chest Weindler 119 1858 2001 10.1378/chest.119.6.1858 The efficacy of postoperative incentive spirometry is influenced by the device-specific imposed work of breathing

상세보기
Changgeng Yi Xue Za Zhi(in Chinese) Ho 23 73 2000 The effect of incentive spirometry on chest expansion and breathing work in patients with chronic obstructive airway diseases: comparison of two methods
Chest Overend 120 971 2001 10.1378/chest.120.3.971 The effect of incentive spirometry on postoperative pulmonary complications: a systematic review

상세보기
Surgery Chuter 105 488 1989 Effect of incentive spirometry on diaphragmatic function after surgery
Anesthesiology Duggan 102 838 2005 10.1097/00000542-200504000-00021 Pulmonary atelectasis: a pathogenic perioperative entity

상세보기
Arch Intern Med Kroenke 152 967 1992 10.1001/archinte.1992.00400170057011 Operative risk in patients with severe obstructive pulmonary disease

상세보기
Am J Respir Crit Care Med 166 518 2002 10.1164/rccm.166.4.518 ATS/ERS Statement on respiratory muscle testing

상세보기
Am J Respir Crit Care Med American Thoracic Society 152 1107 1995 10.1164/ajrccm.152.3.7663792 Standardization of Spirometry, 1994 Update

상세보기
Crit Care Med Halaszynski 32 suppl S76 2004 10.1097/01.CCM.0000122046.30687.5C Optimizing postoperative outcomes with efficient preoperative assessment and management

상세보기
Anesthesiol Clin N Am John 22 45 2004 10.1016/S0889-8537(03)00119-6 Age associated issues: geriatrics

상세보기
Curr Opin Clin Nutr Metab Care Carli 8 23 2005 10.1097/00075197-200501000-00005 Optimizing functional exercise capacity in the elderly surgical population

상세보기
Chest Geerts 119 suppl 132S 2001 10.1378/chest.119.1_suppl.132S Prevention of venous thromboembolism: Sixth ACCP Consensus Conference on antithrombotic therapy

상세보기
Int Angiol Nicolaides 20 1 2001 10.1177/000331970105200101 Prevention of venous thromboembolism- international consensus statement: guidelines compiled in accordance with the scientific evidence

상세보기
J Trauma Kaperonis 28 453 1988 10.1097/00005373-198804000-00006 Effects of total hip replacement and bed rest on blood rheology and red cell metabolism

상세보기
J Injury Wilson 32 765 2001 10.1016/S0020-1383(01)00139-5 Changes in coagulability as measured by thrombelastography following surgery for proximal femoral fracture

상세보기
J Injury Wilson 33 33 2002 10.1016/S0020-1383(01)00137-1 Altered venous function and deep venous thrombosis following proximal femoral fracture

상세보기
Ann Thorac Surg Edmonds 64 924 1997 Comparison of cerebral embolization during total hip arthroplasty and coronary bypass surgery
Anesth Analg Barak 107 221 2008 10.1213/ane.0b013e3181770abb Cerebral microemboli during hip fracture fixation: A prospective study

상세보기
J Bone Joint Surg Am Orsini 69 822 1987 10.2106/00004623-198769060-00005 Cardiopulmonary function and pulmonary microemboli during arthroplasty using cemented or non-cemented components

상세보기
J Bone Joint Surg Am Norris 83 1162 2001 10.2106/00004623-200108000-00005 Pulmonary dysfunction in patients with femoral shaft fracture treated with intramedullary nailing

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Reduction in pulmonary complications in high risk patients undergoing surgery for total hip replacement under general anesthesia by preoperative intensive inspiratory muscle training : A randomized controlled clinical trial

Abstract ▼ AI-Helper

주제어

참고문헌 (41)

이 논문을 인용한 문헌

관련 콘텐츠

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트