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Open Access 01-12-2012 | Protocol

Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing open cardiothoracic or upper abdominal surgery: protocol for a systematic review

Authors: Christina M Mans, Julie C Reeve, Catherine A Gasparini, Mark R Elkins

Published in: Systematic Reviews | Issue 1/2012

Abstract

Background

In patients undergoing open cardiothoracic and upper abdominal surgery, postoperative pulmonary complications remain an important cause of postoperative morbidity and mortality, impacting upon hospital length of stay and health care resources. Adequate preoperative respiratory muscle strength may help protect against the development of postoperative pulmonary complications and therefore preoperative inspiratory muscle training has been suggested to be of potential value in improving postoperative outcomes.

Methods/Design

A systematic search of electronic databases will be undertaken to identify randomized trials of preoperative inspiratory muscle training in patients undergoing elective open cardiothoracic and upper abdominal surgery. From these trials, we will extract available data for a list of predefined outcomes, including postoperative pulmonary complications, hospital length of stay and respiratory muscle strength. We will meta-analyze comparable results where possible, and report a summary of the available pool of evidence.

Discussion

This review will provide the most comprehensive answer available to the question of whether preoperative inspiratory muscle training is clinically useful in improving postoperative outcomes in patients undergoing cardiothoracic and upper abdominal surgery. It will help inform clinicians working in the surgical arena of the likely effectiveness of instituting preoperative inspiratory muscle training programs to improve postoperative outcomes.

Meyers J, Lembeck L, O’Kane J, Baue A: Changes in functional residual capacity of the lung after operation. Arch Surg. 1975, 110: 576-583. 10.1001/archsurg.1975.01360110122020.CrossRefPubMed

O’Donohue W: Postoperative pulmonary complications. When are preventive and therapeutic measures necessary?. Postgrad Med. 1992, 91 (3): 167-175.CrossRefPubMed

Brooks-Brunn J: Postoperative atelectasis and pneumonia: risk factors. Am J Crit Care. 1995, 4 (5): 340-349.PubMed

Smetana GW, Lawrence VA, Cornell JE: Preoperative pulmonary risk stratification for nonthoracic surgery: systematic review for the American College of Physicians. Ann Int Med. 2006, 144 (8): 581-595.CrossRefPubMed

Stephan F, Boucheseiche S, Hollande J, Flahault A, Cheffi A, Bazelly B, Bonnet F: Pulmonary complications following lung resection: a comprehensive analysis of incidence and possible risk factors. Chest. 2000, 118 (5): 1263-1270. 10.1378/chest.118.5.1263.CrossRefPubMed

Basse L, Jakobsen DH, Billesbolle P, Werner M, Kehlet H: A clinical pathway to accelerate recovery after colonic resection. Ann Surg. 2000, 232 (1): 51-57. 10.1097/00000658-200007000-00008.CrossRefPubMedPubMedCentral

Campos JH: Fast track in thoracic anesthesia and surgery. Curr Opin Anaesthesiol. 2009, 22 (1): 1-3. 10.1097/ACO.0b013e32831a43dc.CrossRefPubMed

Muehling B, Halter G, Schelzig H, Meierhenrich R, Steffen P, Sunder-Plassmann L, Orend KH: Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg. 2008, 34 (1): 174-180. 10.1016/j.ejcts.2008.04.009.CrossRefPubMed

Kehlet H, Wilmore DW: Multimodal strategies to improve surgical outcome. Am J Surg. 2002, 183 (6): 630-641. 10.1016/S0002-9610(02)00866-8.CrossRefPubMed

10.

Hulzebos EHJ, Van Meeteren NLU, De Bie RA, Dagnelie PC, Helders PJM: Prediction of postoperative pulmonary complications on the basis of preoperative risk factors in patients who had undergone coronary artery bypass graft surgery. Phys Ther. 2003, 83 (1): 8-16.PubMed

11.

Topp R, Ditmyer M, King K, Doherty K, Hornyak J: The effect of bed rest and potential for prehabilitation on patients in the intensive care unit. AACN Clin Iss. 2010, 13 (2): 263-276.CrossRef

12.

Valkenet K, Van der Port I, Dronkers J, de Vries W, Lindeman E, Backx F: The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clin Rehab. 2011, 25: 99-111. 10.1177/0269215510380830.CrossRef

13.

Nomori H, Kobayashi R, Fuyuno G, Morinaga S, Yashima H: Preoperative respiratory muscle training. Assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest. 1994, 105 (6): 1782-1788. 10.1378/chest.105.6.1782.CrossRefPubMed

14.

Olsén M, Anzén H: Effects of training interventions prior to thoracic or abdominal surgery: a systematic review. Phys Ther Rev. 2012, 17 (2): 124-131.CrossRef

15.

McConnell A, Romer L: Respiratory muscle training in healthy humans: resolving the controversy. Int J Sports Med. 2004, 25 (4): 284-293.CrossRefPubMed

16.

Scherer TA, Spengler CM, Owassapian D, Imhof E, Boutellier U: Respiratory muscle endurance training in chronic obstructive pulmonary disease: impact on exercise capacity, dyspnea, and quality of life. Am J Resp Crit Care Med. 2000, 162 (5): 1709-1714.CrossRefPubMed

17.

McConnell A, Romer L, Weiner P: Inspiratory muscle training in obstructive lung disease: how to implement and what to expect. Breathe. 2005, 2 (1): 39-50.

18.

Illi S, Held U, Frank I, Spengler C: Effect of respiratory muscle training on exercise performance in healthy individuals: a systematic review and meta-analysis. Sports Med. 2012, 42 (8): 707-724. 10.1007/BF03262290.CrossRefPubMed

19.

Forbes S, Game A, Syrotuik D, Jones R, Bell G: The effect of inspiratory and expiratory respiratory muscle training in rowers. Res Sports Med. 2011, 19 (4): 217-230.PubMed

20.

Moodie L, Reeve J, Elkins M: Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review. J Physiother. 2011, 57: 213-221. 10.1016/S1836-9553(11)70051-0.CrossRefPubMed

21.

Gosselink R, De Vos J, van den Heuvel SP, Segers J, Decramer M, Kwakkel G: Impact of inspiratory muscle training in patients with COPD: what is the evidence?. Euro Resp J. 2011, 37 (2): 416-425. 10.1183/09031936.00031810.CrossRef

22.

Smart NA, Dieberg G, Giallauria F: Intermittent versus continuous exercise training in chronic heart failure: a meta-analysis. Int J Cardiol. 2011, Epub ahead of print

23.

Maeda H, Nakahara K, Ohno K, Kido T, Ikeda M, Kawashima Y: Diaphragmatic function after pulmonary resection. Am Rev Respir Dis. 1988, 137: 678-681.CrossRefPubMed

24.

Welvaart W, Paul M, Stienen G, van Hees H, Loer S, Bouwman R, Niessen H, de Man F, Witt C, Granzier H, Vonk-Noordegraaf A, Ottenheijm C: Selective diaphragm muscle weakness after contractile inactivity during thoracic surgery. Ann Surg. 2011, 254 (6): 1044-1049. 10.1097/SLA.0b013e318232e75b.CrossRefPubMed

25.

Kulkarni SR, Fletcher E, McConnell AK, Poskitt KR, Whyman MR: Pre-operative inspiratory muscle training preserves postoperative inspiratory muscle strength following major abdominal surgery - a randomised pilot study. Ann R Coll Surg Eng. 2010, 92 (8): 700-705. 10.1308/003588410X12771863936648.CrossRef

26.

Barbalho-Moulim MC, Miguel GPS, Forti EMP, Campos FA, Costa D: Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion. Clinics (São Paulo, Brazil). 2011, 66 (10): 1721-1727. 10.1590/S1807-59322011001000009.CrossRef

27.

Celli B: Perioperative respiratory care of the patient undergoing upper abdominal surgery. Clin Chest Med. 1993, 14 (2): 253-261.PubMed

28.

Macedo L, Elkins M, Maher C, Moseley A, Herbert R, Sherrington C: There was evidence of convergent and construct validity of Physiotherapy Evidence Database quality scale for physiotherapy trials. J Clin Epidemiol. 2010, 63 (8): 920-925. 10.1016/j.jclinepi.2009.10.005.CrossRefPubMed

29.

GRADE Working Group: Grading quality of evidence and strength of recommendations. BMJ. 2004, 328: 1490-1494.CrossRefPubMedCentral

30.

Higgins J, Green S(e): The Cochrane Collaboration. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. 2011,http://www.cochrane-handbook.org,

31.

Moodie L, Reeve J, Vermeulen N, Elkins M: Inspiratory muscle training to facilitate weaning from mechanical ventilation: protocol for a systematic review. BMC Res Notes. 2011, 4: 283-10.1186/1756-0500-4-283.CrossRefPubMedPubMedCentral

32.

Carvalho CRF, Paisani DM, Lunardi AC: Incentive spirometry in major surgeries: a systematic review. Rev Bras Phys. 2011, 15 (5): 343-350.

Title: Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing open cardiothoracic or upper abdominal surgery: protocol for a systematic review
Authors: Christina M Mans
Julie C Reeve
Catherine A Gasparini
Mark R Elkins
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Systematic Reviews / Issue 1/2012
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/2046-4053-1-63

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing open cardiothoracic or upper abdominal surgery: protocol for a systematic review

Abstract

Background

Methods/Design

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods/Design

Discussion

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