Impact of incentive spirometry on mortality and pulmonary complications following upper abdominal surgery; systematic review

Authors

Hussein Saleh Alyami, Kamal Kamel alsofyani, Abrar Habeeb Bokhamseen, Mania Salem Al-Baqawi, Fahad Bader AlGhounaim, Ammar Adnan Alhaji, Zahra Hassan Al Nasser

Abstract

Study aim: Examining the effects of incentive spirometry on mortality and pulmonary problems in individuals who have had upper abdomen surgery was the aim of this study.
Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards were followed in the conduct of this study. Our sample consisted of studies including adults admitted to the hospital for any type of upper abdominal surgery, including laparoscopic procedures. Studies with adult patients with co-morbid conditions as well as those who had any additional issues throughout the recovery period were also included. We planned to look at the following therapies: no intervention, breathing exercises, chest physical therapy techniques, and IS. We looked through the Cochrane Library, PubMed, and Google Scholar electronic databases to find papers that met the inclusion requirements and were published in English up to 2015.
Results and conclusion: A total of 1659 individuals from 5 articles were included in this study. Among the interventions used include IS, IMT, and breathing exercises. The length of hospital stay, pulmonary issues and arterial blood gas tests, were evaluated by Hall et al., 1991. Hall et al. (1996) assessed respiratory issues and staff time spent on preventative respiratory therapy. The respiratory variables, physical capacity, pain score, and discharge date were evaluated by Kulkarni et al. 2010. Absolute and relative changes in all respiratory indicators were the main objectives, with duration of stay, postoperative time in the intensive care unit, and additional pulmonary problems serving as secondary outcomes. The length of hospital stay, arterial blood gas tests, FVC, FEV1, and pulmonary issues were evaluated by O'Connor et al. in 1988. We conclude that, one of the most effective preventative measures against respiratory problems following abdominal surgery, when resource use is considered, is incentive spirometry for high-risk patients and deep breathing exercises for low-risk patients.

Keywords

incentive spirometry, mortality, pulmonary complications, abdominal surgery

Impact of incentive spirometry on mortality and pulmonary complications following upper abdominal surgery; systematic review. Hussein Saleh Alyami, Kamal Kamel alsofyani, Abrar Habeeb Bokhamseen, Mania Salem Al-Baqawi, Fahad Bader AlGhounaim, Ammar Adnan Alhaji, Zahra Hassan Al Nasser. 2016. IJIRCT, Volume 2, Issue 4. Pages 1-6. https://www.ijirct.org/viewPaper.php?paperId=2411061