Incentive spirometer in the postoperative period of thoracic surgery: a systematic review
DOI:
https://doi.org/10.15448/1983-652X.2016.3.23081Keywords:
thoracotomy, thoracic surgery, thoracic surgical procedures, physiotherapy, postoperative complications, physical therapy modalities.Abstract
Introduction: Postoperative pulmonary complications may occur following lung surgery adversely affecting the clinical course and increasing the risk of morbidity and mortality. Respiratory physiotherapy operates preventing, mitigating or reversing these possible complications, and incentive spirometry is one of the techniques used.
Objective: The purpose of this systematic review is to evaluate the effect of incentive spirometry practices in the postoperative period of thoracic surgery on lung function, respiratory muscle strength, pulmonary complications and length of hospital stay.
Materials and Methods: The research included Medline/Pubmed, Embase and Scielo databases, besides manual search from September up to October 2015. It included randomized studies evaluating the use of incentive spirometry compared with other physical therapy methods in patients after thoracic (lung) surgery.
Results: Three studies from a total of 480 articles were included. All selected studies evaluated lung function and only one study evidenced an improvement. Also, just one study showed an improvement in respiratory muscle strength. The pulmonary complications and the hospital stay was not reduced or avoided after the use of incentive spirometry.
Conclusion: There are insufficient evidences to justify the recommendation of the incentive spirometry at postoperative pulmonary surgery on lung function, hospital stay, inspiratory muscle strength and pulmonary complications.
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