The effects of intermittent positive pressure and incentive spirometry in the postoperative of myocardial revascularization.
BACKGROUND
Pulmonary complications are important causes of morbidity and fatalities among patients subject to cardiac surgery. The respiratory physiotherapy has been aiding in the recovery of these patient ones.


OBJECTIVE
To evaluate the physiotherapeutic effect of intermittent positive pressure breathing (IPPB) and incentive spirometry (IS) in patients submitted to myocardial revascularization surgery.


METHODS
Forty patients were divided in two groups: one was submitted to IPPB (n=20) and the other to IS (n=20). The patients were evaluated at the preoperative period and 24, 48 and 72 hours postoperatively, with the resources being applied in the postoperative period. The following parameters were analyzed: oxygen saturation (SpO2), respiratory frequency (RF), minute volume (MV), current volume (CV), maximum inspiratory pressure (Ip max) and maximum expiratory pressure (Ep max).


RESULTS
The groups were considered homogeneous regarding the demographic and clinical variables. In the group submitted to IPPB, an increase in SpO2 was observed 48 (p=0.007) and 72 h (p=0.0001) after surgery, when compared to the IS group. As for the RF, MV and CV variables, there were no statistically significant differences between the groups. The group submitted to IS showed a significant increase in the Epmax 24 (p=0.02) and 48 (p=0.01) h after surgery.


CONCLUSIONS
Aiming at reversing hypoxemia earlier, IPPB showed to be more efficient when compared to IS; however, IS was more effective in improving respiratory muscle strength.
Romanini
Walmir
W
Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.
Muller
Andrea Pires
AP
Carvalho
Katherine Athayde Teixeira de
KA
Olandoski
Marcia
M
Faria-Neto
José Rocha
JR
Mendes
Felipe Luiz
FL
Sardetto
Evandro Antonio
EA
Costa
Francisco Diniz Afonso da
FD
Guarita-Souza
Luiz César
LC
D005260:Female; D006801:Humans; D000860:Hypoxia / Q000628:therapy; D007384:Intermittent Positive-Pressure Breathing; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000009:adverse effects; D010100:Oxygen / Q000097:blood; D011184:Postoperative Period; D011300:Preoperative Care; D011312:Pressure; D011446:Prospective Studies; D012119:Respiration; D012132:Respiratory Muscles / Q000503:physiopathology; D013147:Spirometry / Q000379:methods*; D018709:Statistics, Nonparametric; D013997:Time Factors
D010100:Oxygen