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Influence of different respiratory physical therapy resources application after abdominal surgery

Abstract

Obesity and especially morbid obesity, cause numerous effects on lung function and these can accentuate opposite surgical procedures, increasing respiratory complications risk. To apply respiratory physiotherapy before and after abdominal surgery is important to prevent complications of surgical procedures meanly in morbid obesity people. The objective of this study will be to investigate the effects of applying different resources of chest physiotherapy on pulmonary function, mobility abdominal-thoracic and prevalence of pulmonary complications in patients undergoing bariatric surgery. It will be a prospective study, randomized, interventional, comparative, approved by the ethics committee of the institution under the report 89/12, in which adult volunteer morbidly obese candidates for bariatric surgery elective, will undergo preoperative evaluations, procedures interventionists and re-evaluation, postoperatively. The assessment of lung volumes and capacities will be performed by spirometry, abdominal-thoracic mobility will be accomplished through cirtometry abdominal-thoracic and analysis of the prevalence of pulmonary complications will be effected through the reports of radiological issued by a radiologist. After the initial assessment the volunteers will be randomized into five groups. Each of these groups will receive in addition to conventional chest physiotherapy (CCP) a type of physical therapy during the hospital stay after surgery, being: Only CCP, CCP + continuous positive airway pressure (CPAP), CCP + expiratory positive airway pressure (EPAP), CCP + intermittent positive pressure breathing (IPPB) and CCP + bilevel positive airway pressure (BIPAP). The selection of the tests depends on the outcome of the statistical analysis of the data normality test in relation to the distribution found or not and the homogeneity of their variances. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
SIMOES DA ROCHA, MAURA RIGOLDI; SOUZA, STEFANE; DA COSTA, CAROLINA MORAES; BERTELLI MERINO, DANIELA FALEIROS; DE LIMA MONTEBELO, MARIA IMACULADA; RASERA-JUNIOR, IRINEU; PAZZIANOTTO-FORTI, ELI MARIA. AIRWAY POSITIVE PRESSURE VS. EXERCISES WITH INSPIRATORY LOADING FOCUSED ON PULMONARY AND RESPIRATORY MUSCULAR FUNCTIONS IN THE POSTOPERATIVE PERIOD OF BARIATRIC SURGERY. ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY, v. 31, n. 2 2018. Web of Science Citations: 0.
SGARIBOLDI, DAYLA; PAZZIANOTTO-FORTI, ELI MARIA. Predictive Equations for Maximum Respiratory Pressures of Women According to Body Mass. Respiratory Care, v. 61, n. 4, p. 468-474, APR 2016. Web of Science Citations: 2.
BRIGATTO, PATRICIA; CARBINATTO, JESSICA C.; COSTA, CAROLINA M.; MONTEBELO, MARIA I. L.; RASERA-JUNIOR, IRINEU; PAZZIANOTTO-FORTI, ELI M. Application of positive airway pressure in restoring pulmonary function and thoracic mobility in the postoperative period of bariatric surgery: a randomized clinical trial. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 18, n. 6, p. 553-562, NOV-DEC 2014. Web of Science Citations: 6.

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