Chest
Clinical InvestigationsPostoperative Chest Percussion with Postural Drainage in Obese Patients following Gastric Stapling
Section snippets
Methods
Some 53 consecutive patients undergoing Roux-en-Y gastric bypass surgery for treatment of morbid obesity were randomized to the treatment and control groups. All patients were operated upon within a six-month period of time in 1982 by the same surgeon (DES), and received identical preoperative evaluations. Of the 53 patients, four dropped out of the study. Of the three treatment group patients who were deleted, two refused the postoperative therapy protocol, and one had surgery cancelled. One
Results
The CPT and no CPT (control) groups were compared by a variety of parameters. The mean age of the CPT patients was 39.9 years with a range of 15 to 57 years. In the control patients, the mean age was 37 years, and the age range 22 to 62 years. The sex distributions within the two groups showed 20 women and four men in the CPT group, and 21 women and four men in the control group. Comparison of additional parameters included cigarette smoking history, history of prior pulmonary diseases, dyspnea
Discussion
In this study, patients at high risk for postoperative pulmonary complications were randomly divided into two groups so that the value, if any, of postoperative chest physiotherapy could be assessed. All of these obese patients (125 percent to greater than 225 percent of ideal body weight) underwent Roux-en-Y gastric bypass surgery, with a number of additional upper abdominal procedures being performed. This patient group was chosen because of the well-accepted observation that upper abdominal
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Analysis of the prevalence of atelectasis in patients undergoing bariatric surgery
2016, Brazilian Journal of AnesthesiologyAmerican Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient
2008, Surgery for Obesity and Related DiseasesCitation Excerpt :Atelectasis remains a common cause of fever and tachycardia during the first 24 hours after bariatric surgery [453[EL 4], 471[EL 4]]. Pulmonary management after bariatric surgery includes aggressive pulmonary toilet and incentive spirometry for the prevention of atelectasis [470[EL 4], 501[EL 3]]. Oxygen supplementation and early institution of nasal CPAP improve respiratory function in this patient population [498[EL 3], 502[EL 2]].
American Asociation of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery Medical Guidelines for Clinical Practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient
2008, Endocrine PracticeCitation Excerpt :Atelectasis remains a common cause of fever and tachycardia during the first 24 hours after bariatric surgery (453 [EL 4], 471 [EL 4]). Pulmonary management after bariatric surgery includes aggressive pulmonary toilet and incentive spirometry for the prevention of atelectasis (470 [EL 4], 501 [EL 3]). Oxygen supplementation and early institution of nasal CPAP improve respiratory function in this patient population (498 [EL 3], 502 [EL 2]).
Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: A systematic review
2006, ChestCitation Excerpt :There was one redundancy unit15; we regarded the more detailed article as the original report16 and excluded the duplicate.17 We eventually analyzed data from 35 randomized trials with data on 4,145 adult patients (Table 1).16,1819,2021,2223,2425,2627,2829,3031,3233,3435,3637,3839,4041,4243,4445,4647,4849,50,51 Trials came from 12 countries and were published between 1952 and 2005.
Critical care of the obese and bariatric surgical patient
2003, Critical Care Clinics