Influence of different body positions in vital capacity in patients on postoperative upper abdominal.
BACKGROUND
The changes in body position can cause changes in lung function, and it is necessary to understand them, especially in the postoperative upper abdominal surgery, since these patients are susceptible to postoperative pulmonary complications.


OBJECTIVE
To assess the vital capacity in the supine position (head at 0° and 45°), sitting and standing positions in patients in the postoperative upper abdominal surgery.


METHODS
A cross-sectional study conducted between August 2008 and January 2009 in a hospital in Salvador/BA. The instrument used to measure vital capacity was analogic spirometer, the choice of the sequence of positions followed a random order obtained from the draw of the four positions. Secondary data were collected from the medical records of each patient.


RESULTS
The sample consisted of 30 subjects with a mean age of 45.2 ± 11.2 years, BMI 20.2 ± 1.0 kg/m(2). The position on orthostasis showed higher values of vital capacity regarding standing (mean change: 0.15 ± 0.03 L; p=0.001), the supine to 45 (average difference: 0.32 ± 0.04 L; p = 0.001) and 0° (0.50 ± 0.05 L; p = 0.001). There was a positive trend between the values of forced vital capacity supine to upright posture (1.68 ± 0.47; 1.86 ± 0.48; 2.02 ± 0.48 and 2.18 ± 0.52 L; respectively).


CONCLUSIONS
Body position affects the values of vital capacity in patients in the postoperative upper abdominal surgery, increasing in postures where the chest is vertical.
Hospital Aliança, Salvador, BA, Brazil; Escola Baiana de Medicina e Saúde Pública (EBMSP), Salvador, BA, Brazil; Faculdade Social da Bahia (FSBA), Salvador, BA, Brazil.
Bruno Prata
BP
Martinez
Faculdade Social da Bahia (FSBA), Salvador, BA, Brazil.
Joilma Ribeiro
JR
Silva
Faculdade Social da Bahia (FSBA), Salvador, BA, Brazil; Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Vanessa Salgado
VS
Silva
Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
Mansueto
M
Gomes Neto
Centro Universitário Metodista (IPA), Postgraduate Program in Rehabilitation and Inclusion and Biosciences and Rehabilitation , Porto Alegre, RS, Brazil; Laboratory of Airway and Lung, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil. Electronic address: forgiarini.luiz@gmail.com.
Luiz Alberto
LA
Forgiarini Júnior
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011184:Postoperative Period; D011187:Posture / Q000502:physiology*; D013147:Spirometry; D016683:Supine Position / Q000502:physiology; D014797:Vital Capacity / Q000502:physiology*
Abdominal surgery; Capacidade vital forçada; Cirurgia abdominal; Complicações pós-operatórias; Forced vital capacity; Posicionamento do paciente; Positioning the patient; Postoperative complications