[Assessment of Feasibility of Early Ambulation and Food-intake on the Operative Day after Lung Resection].
To decrease the risk of morbidity, we have started an early ambulation and food-intake program conducted on the same day as pulmonary resection. This protocol was developed with consideration of the characteristics of lung surgery and conducted through an interdisciplinary team-approach. The assessment of feasibility and clinical effectiveness of this protocol was evaluated in 64 consecutive patients. No apparent adverse effect relating to this protocol was recorded. Fifty-five of 64 patients( 80%) were able to accomplish ambulation to the up-right standing position. Thirty-four of 64 patients( 53%) were able to consume more than half the amount of their hospital supper. No patients, including 5 patients who had had a past-history of postoperative delirium after their previous surgery, developed postoperative delirium after conducting this protocol. This protocol, which consisted of extraordinary early ambulation and food-intake on the operative day, was done safely and is expected to have some benefit as a postoperative management protocol for lung surgery.
Department of Respiratory Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Hiroaki
H
Harada
Yoshinori
Y
Yamashita
Yoshinori
Y
Handa
Norifumi
N
Tsubokawa
Chie
C
Takenaka
Keizo
K
Misumi
Makiko
M
Kubota
Junichi
J
Nakao
Miho
M
Takahama
Hiroyuki
H
Michihiro
Orie
O
Arinaga
D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium / Q000209:etiology; D004434:Early Ambulation / Q000009:adverse effects; D004435:Eating; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011183:Postoperative Complications