Best Practice & Research Clinical Anaesthesiology
Volume 24, Issue 2 , Pages 283-289 , June 2010

Physiotherapy in the perioperative period

  • Nicolino Ambrosino, MD

      Affiliations

    • Respiratory Unit, Cardio-Thoracic Department, University Hospital, Pisa, Italy
    • Pulmonary Rehabilitation and Weaning Center, Auxilium Vitae, Volterra, Italy
    • Corresponding Author InformationCorresponding author. U.O. Pneumologia-Dipartimento cardio-Toracico. Azienda Ospedaliero Universitaria Pisana, Cisanello, 56124 Pisa, Italy.
  • ,
  • Luciano Gabbrielli, MD

      Affiliations

    • Respiratory Unit, Cardio-Thoracic Department, University Hospital, Pisa, Italy

References 

  1. Warner DO. Preventing postoperative pulmonary complications: the role of the anesthesiologist. Anesthesiology. 2000;92:1467–1472
  2. van Kaam AH, Lachmann RA, Herting E, et al. Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia. American Journal of Respiratory and Critical Care Medicine. 2004;169:1046–1053
  3. Sharafkhaneh A, Falk JA, Minai OA, Lipson DA. Overview of the perioperative management of lung volume reduction surgery patients. Proceedings of the American Thoracic Society. 2008;5:438–441
  4. Thompson JP, Boyle JR, Thompson MM, et al. Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdominal aortic aneurysm repair. British Journal of Anaesthesia. 1999;82:129–131
  5. Dureuil B. Management of COPD patients undergoing surgery. In:  Similowski T,  Whitelaw WA,  Derenne JP editor. Clinical management of chronic obstructive pulmonary disease. New York: Marcel Dekker; 2002;p. 871–894
  6. Grichnik KP, Hill SE. The perioperative management of patients with severe emphysema. Journal of Cardiothoracic and Vascular Anesthesia. 2003;17:364–387
  7. Clini E, Ambrosino N. Early physiotherapy in the respiratory intensive care unit. Respiratory Medicine. 2005;99:1096–1104
  8. Lawrence VA, Hilsenbeck SG, Mulrow CD, et al. Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. Journal of General Internal Medicine. 1995;10:671–678
  9. Burtin C, Clerckx B, Robbeets C, et al. Early exercise in critically ill patients enhances short-term functional recovery. Critical Care Medicine. 2009;37:2499–2505
  10. Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009;373:1874–1882
  11. MacMahon C. Breathing and physical exercises for the use in cases of wounds in pleura, lung and diaphragm. Lancet. 1915;2:769–770
  12. Thomas JA, McIntosh JM. Are incentive spirometry, intermittent positive pressure breathing, and deep breathing exercises effective in the prevention of postoperative pulmonary complications after upper abdominal surgery? A systematic overview and meta-analysis. Physical Therapy. 1994;74:3–16
  13. Overend TJ, Anderson CM, Lucy SD, et al. The effect of incentive spirometry on postoperative pulmonary complications: a systematic review. Chest. 2001;120:971–978
  14. Pasquina P, Tramer MR, Walder B. Prophylactic respiratory physiotherapy after cardiac surgery: systematic review. BMJ (Clinical Research Ed.). 2003;327:1379–1381
  15. Pasquina P, Tramèr MR, Granier JM, Walzer B. Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review. Chest. 2006;130:1887–1899
  16. Rochester CL. Pulmonary rehabilitation for patients who undergo lung-volume-reduction surgery or lung transplantation. Respiratory Care. 2008;53:1196–1202
  17. Garibaldi RA, Britt MR, Coleman ML, et al. Risk factors for postoperative pneumonia. The American Journal of Medicine. 1981;70:677–680
  18. Celli BR, Rodriguez KS, Snider GL. A controlled trial of intermittent positive pressure breathing, incentive spirometry, and deep breathing exercises in preventing pulmonary complications after abdominal surgery. The American Review of Respiratory Disease. 1984;130:12–15
  19. Shen KR, Swanson SJ. Perioperative complications and their management. In:  Fessler HE,  Reilly JJ,  Sugarbaker DJ editor. Lung volume reduction surgery for emphysema. New York: Marcel Dekker; 2004;p. 273–288
  20. Varela G, Ballesteros E, Jimenez MF, et al. Cost effectiveness analysis of prophylactic respiratory physiotherapy in pulmonary lobectomy. European Journal of Cardio-thoracic Surgery. 2006;29:216–220
  21. Guimarães MM, El Dib R, Smith AF, Matos D. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. Cochrane Database of Systematic Reviews (Online). 2009 Jul 8;(3):CD006058
  22. Rajendran AJ, Pandurangi UM, Murali R, et al. Preoperative short-term pulmonary rehabilitation for patients of chronic obstructive pulmonary disease undergoing coronary artery bypass graft surgery. Indian Heart Journal. 1998;50:531–534
  23. Castillo R, Haas A. Chest physical therapy: comparative efficacy of preoperative and postoperative in the elderly. Archives of Physical Medicine and Rehabilitation. 1985;66:376–379
  24. Robinson JG, Beckett WC, Mills JL, et al. Aortic reconstruction in high-risk pulmonary patients. Annals of Surgery. 1989;210:112–117
  25. Felcar JM, Guitti JC, Marson AC, Cardoso JR. Preoperative physiotherapy in prevention of pulmonary complications in pediatric cardiac surgery. Revista brasileira de cirurgia Cardiovascular. 2008;23:383–388
  26. Yánez-Brage I, Pita-Fernández S, Juffé-Stein A, et al. Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study. BMC Pulmonary Medicine. 2009 Jul 28;9:36
  27. Spruit MA, Janssen PP, Willemsen SC, et al. Exercise capacity before and after an 8-week multidisciplinary inpatient rehabilitation program in lung cancer patients: a pilot study. Lung Cancer. 2007;57:118–119
  28. Brunelli A, Charloux A, Bolliger CT, et al. The European Respiratory Society and European Society of Thoracic Surgeons clinical guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer. European Journal of Cardio-thoracic Surgery. 2009;36:181–184
  29. Jones LW, Eves ND, Waner E, Joy AA. Exercise therapy across the lung cancer continuum. Current Oncology Reports. 2009;11:255–262
  30. Thomsen GE, Snow GL, Rodriguez L, Hopkins RO. Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Critical Care Medicine. 2008;36:1119–1124
  31. Bailey P, Thomsen GE, Spuhler VJ, et al. Early activity is feasible and safe in respiratory failure patients. Critical Care Medicine. 2007;35:139–145
  32. Needham DM. Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function. The Journal of the American Medical Association. 2008;300:1685–1690
  33. Stiller K. Safety issues that should be considered when mobilizing critically ill patients. Critical Care Clinics. 2007;23:35–53
  34. Laghi F, Tobin MJ. Disorders of the respiratory muscles. American Journal of Respiratory and Critical Care Medicine. 2003;168:10–48
  35. Wynne R, Botti M. Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice. American Journal of Critical Care. 2004;13:384–393
  36. Hulzebos EHJ, Paul JM, Helders PJM, et al. Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery. A randomized clinical trial. The Journal of the American Medical Association. 2006;296:1851–1857
  37. Nomori H, Kobayashi R, Fuyuno G, et al. Preoperative respiratory muscle training: assessment in thoracic surgery patients with special reference to postoperative pulmonary complications. Chest. 1994;105:1782–1788
  38. Das-Neves-Pereira JC, Bagan P, Coimbra-Israel AP, et al. Fast-track rehabilitation for lung cancer lobectomy: a five-year experience. European Journal of Cardio-thoracic Surgery. 2009;36:383–391
  39. Forti E, Ike D, Barbalho-Moulim M, et al. Effects of chest physiotherapy on the respiratory function of postoperative gastroplasty patients. Clinics (São Paulo, Brazil). 2009;64:683–689
  40. Chumillas S, Ponce JL, Delgado F, et al. Prevention of postoperative pulmonary complications through respiratory rehabilitation: a controlled clinical study. Archives of Physical Medicine and Rehabilitation. 1998;79:5–9
  41. Fagevik Olsen M, Hahn I, Nordgren S, et al. Randomized controlled trial of phrophylactic chest physiotherapy in major abdominal surgery. The British Journal of Surgery. 1997;84:1535–1538
  42. Vraciu JK, Vraciu RA. Effectiveness of breathing exercise in preventing pulmonary complications following open heart surgery. Physical Therapy. 1977;57:1367–1371
  43. Arthur HM, Daniels C, McKelvie R, et al. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery: a randomized, controlled trial. Annals of Internal Medicine. 2000;133:253–262
  44. Stiller KR, Munday RM. Chest physiotherapy for the surgical patient. The British Journal of Surgery. 1992;79:745–749
  45. Gosselink R, Bott J, Johnson M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on physiotherapy for critically ill patients. Intensive Care Medicine. 2008;34:1188–1199
  46. Brooks D, Parsons J, Newton J, et al. Discharge criteria from perioperative physical therapy. Chest. 2002;121:488–494

PII: S1521-6896(10)00018-2

doi: 10.1016/j.bpa.2010.02.003

Best Practice & Research Clinical Anaesthesiology
Volume 24, Issue 2 , Pages 283-289 , June 2010