Effects of cardiothoracic physiotherapy on intrapulmonary shunt in abdominal surgical patients

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Title: Effects of cardiothoracic physiotherapy on intrapulmonary shunt in abdominal surgical patients
Author/Creator: Ntoumenopoulos, G | Greenwood, Ken
Description: This study investigated the provision of additional evening physiotherapy on pulmonary complications and intrapulmonary shunt (Q(S)/Q(t)) after abdominal surgery. Thirty-one elderly patients received either daylight only or daylight plus evening physiotherapy for up to 48 hours. Physiotherapy included combinations of positioning, gravity assisted drainage, breathing exercises, manual techniques, coughing and airway suctioning. Measurements included Q(s)/Q(t) and post-operative pulmonary complications. While no significant difference in atelectasis was found, the post-operative Q(s)/Q(t) data averaged into six-hour time frames demonstrated significantly lower mean Q(s)/Q(t) for the daylight plus evening physiotherapy group between 18 and 24 hours post-surgery. Additional evening physiotherapy may reduce post-operative deterioration in gas exchange after major abdominal surgery.
Relation: Australian Journal of Physiotherapy / Vol. 42, No. 4, pp.297-303
Relation: http://dx.doi.org/10.1016/S0004-9514(14)60394-9
Year: 1996
Publisher: Australian Physiotherapy Association
Subject: FoR 1103 (Clinical Sciences) | FoR 1106 (Human Movement and Sports Science) | intensive care | physical therapy | post-operative complications | surgery

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