Optimal technique for deep breathing exercises after cardiac surgery.

Abstract:

:Cardiac surgery patients often develop a restrictive pulmonary impairment and gas exchange abnormalities in the early postoperative period. Chest physiotherapy is routinely prescribed in order to reduce or prevent these complications. Besides early mobilization, positioning and shoulder girdle exercises, various breathing exercises have been implemented as a major component of postoperative care. A variety of deep breathing maneuvres are recommended to the spontaneously breathing patient to reduce atelectasis and to improve lung function in the early postoperative period. Different breathing exercises are recommended in different parts of the world, and there is no consensus about the most effective breathing technique after cardiac surgery. Arbitrary instructions are given, and recommendations on performance and duration vary between hospitals. Deep breathing exercises are a major part of this therapy, but scientific evidence for the efficacy has been lacking until recently, and there is a lack of trials describing how postoperative breathing exercises actually should be performed. The purpose of this review is to provide a brief overview of postoperative breathing exercises for patients undergoing cardiac surgery via sternotomy, and to discuss and suggest an optimal technique for the performance of deep breathing exercises.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Westerdahl E

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

678-83

issue

6

eissn

0375-9393

issn

1827-1596

pii

R02Y9999N00A140899

journal_volume

81

pub_type

杂志文章,评审
  • [Vecuronium in pediatric anesthesia. Repeated bolus vs continuous infusion].

    abstract::Vecuronium bromide was employed in 26 pediatric patients; 18 received vecuronium infusion and 11 intermittent bolus administration. The aim of the study was to evaluate the pharmacodynamics of the drug, the lack of cumulative properties, the best infusion rate, the possible advantage of the infusion technique. Neuromu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Barbone G,Longo G,Bruno F

    更新日期:1992-03-01 00:00:00

  • [Intubating laryngeal mask airway (ILMA) in otorhinolaryngology surgery. A case of failure].

    abstract::Intubating laryngeal mask airway (ILMA) is a very useful device for difficult airway management. The use of this device has not yet been studied in otorhinolaryngology surgery. The case of a 52-year-old man, weighing 104 kg, anesthetized for microlaryngoscopy due to aphonia occurred 6 months before, is reported. Tradi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bianchin A,Polo M,Cavarzerani C

    更新日期:2001-10-01 00:00:00

  • Anesthetic complications during general anesthesia without intravenous access in pediatric ophthalmologic clinic: assessment of 5216 cases.

    abstract:BACKGROUND:General anesthesia utilizing inhalational agents without intravenous (IV) access for minor procedures is controversial. Eliminating IV access increases efficiency and patient satisfaction; however, the ability to introduce rapid acting medications into the circulation during an unanticipated emergency become...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.11565-8

    authors: Hung CW,Licina L,Abramson DH,Arslan-Carlon V

    更新日期:2017-07-01 00:00:00

  • [Our experience in prevention and treatment of drug allergy].

    abstract::A brief account of the physiopathology and clinical treatment of antigen-antibody reactions is followed by the description of a personal technique used for over 20 years in the detection of drug allergy. The method consists of a skin test followed by administration of increasing doses of the drug under examination. At...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ebbli C,Truffelli L

    更新日期:1980-01-01 00:00:00

  • High-volume hemofiltration in critically ill patients: a systematic review and meta-analysis.

    abstract:BACKGROUND:High volume hemofiltration (HVHF) has been proposed as method for blood purification, especially under the condition of systemic inflammatory syndromes. Our goal was to evaluate the effects of HVHF in critically ill patients. METHODS:A systematic review and meta-analysis was conducted of randomized controll...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Lehner GF,Wiedermann CJ,Joannidis M

    更新日期:2014-05-01 00:00:00

  • Correction to: A year in review in Minerva Anestesiologica 2019. Critical care.

    abstract::This corrects the article DOI:10.23736/S0375-9393.20.14384-0. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,已发布勘误

    doi:10.23736/S0375-9393.20.14856-9

    authors: Cavaliere F,Biancofiore G,Bignami E,De Robertis E,Giannini A,Grasso S,Piastra M,Scolletta S,Taccone FS,Terragni P

    更新日期:2020-06-01 00:00:00

  • [Randomized study on the use of propofol for anesthesia in intracranial tumors. Comparison with balanced anesthesia].

    abstract::There is currently no anesthesiological technique which enables volume, cerebral blood flow and spinal fluid pressure to be kept constant. The aim of the present study was to compare two techniques of anesthesia in patients with cerebral tumours: one of a balanced type (AB) and the other of a continuous ev type (AEC) ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Mazzitelli MR,Morace E,Sofra M,Aloe L,Moricca P,Margiotta L,Imperatori G

    更新日期:1992-04-01 00:00:00

  • [Recovery after serious mushroom poisoning (grade IV encephalopathy) with intensive care support and without liver transplantation. Clinical case].

    abstract::Despite consistent improvement in its treatment, amatoxin poisoning still extolls an elevated overall mortality, ranging between 10 and 15%, which approaches 100% when severe (grade 3-4 encephalopathy) hepatic failure supervened. Therefore, the proper treatment of intoxication by amatoxin containing mushrooms, and par...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ronzoni G,Vesconi S,Radrizzani D,Corbetta C,Langer M,Iapichino G

    更新日期:1991-06-01 00:00:00

  • [Validity of the V/Q index in the monitoring of critical patients].

    abstract::The Authors have controlled the validity of VQI to quantify pulmonary shunt (Qs/Qt). The survey involved (group A) patients who had undergone major surgery and (group B) patients hospitalized in ICU for cardiorespiratory failure. Four subgroups were identified in both the groups according to different values of SaO2. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Donati A,Orsetti G,Bini G,Luzi A,Valente M,Giovannini C,De Ritis GC,Pietropaoli P

    更新日期:1992-01-01 00:00:00

  • Anesthesiological management and outcome of 100 ''beating heart'' coronary artery bypass grafting.

    abstract:AIM:The aim of this paper is to describe the anesthesiological management and the outcome of beating heart revascularization. METHODS:A prospective study has been performed in a tertiary teaching hospital on 100 consecutive patients undergoing off-pump coronary artery revascularization. The main features of anesthetic...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Zangrillo A,Gerli C,Landoni G,Sparicio D,Roberti A,Sottocorna O,Mantovani L,Scandroglio AM,Crescenzi G

    更新日期:2006-10-01 00:00:00

  • Compatibility of reduced glutathione (GSH) with different solutions currently used in anesthesia and reanimation.

    abstract:BACKGROUND:Reduced glutathione (GSH) an antioxidant used for i.v. or i.m. administrations, prepared as powder to be diluted in distilled water just before injection (Tationil 600), could lose its antioxidant properties when added to various infusions currently utilized in anesthesia and reanimation. AIM OF THE WORK:Ev...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mangiameli S,Calabrese V,Cantarella G,Milazzo G,Nicolosi D,Rizza V

    更新日期:1995-10-01 00:00:00

  • Platelet morphological indices on ICU admission predict mortality in septic but not in non-septic patients.

    abstract:BACKGROUND:Thrombocytopenia is associated with worse outcomes in critically ill patients. The clinical relevance of other platelets indices is less studied. We investigated the ability of the platelets distribution width (PDW) and the mean platelet volume (MPV) to predict mortality in critically ill patients. We hypoth...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14528-0

    authors: Fogagnolo A,Taccone FS,Benetto G,Franchi F,Scolletta S,Cotoia A,Kozhevnikova I,Volta CA,Spadaro S

    更新日期:2020-09-22 00:00:00

  • [Pharmacologic prevention of Mendelson syndrome. A controlled clinical trial].

    abstract::This controlled study considers the effect of ranitidine, both alone and in association with metoclopramide, on the acidity and volume of the gastric content of 75 patients requiring caesarean section. Ranitidine, when used alone (50 mg intravenously 30-60 minutes before the operation) significantly reduced (p less th...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bifarini G,Favetta P,Ciammiti B,Cirulli P,Del Sindaco F,Pasqualucci A

    更新日期:1992-03-01 00:00:00

  • Ultrasound-guided serratus plane block and image-guided microwave ablation of a rib metastasis.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 信件

    doi:10.23736/S0375-9393.18.12938-5

    authors: Fusco P,Vespasiano M,Di Carlo S,Scimia P,Petrucci E,Marinangeli F

    更新日期:2018-12-01 00:00:00

  • Response to ASA and ESA fasting guidelines are not in concert.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,信件

    doi:10.23736/S0375-9393.19.13630-9

    authors: Presta MV,Bhavani SS,Abdelmalak BB

    更新日期:2019-07-01 00:00:00

  • The role of genomics to identify biomarkers and signaling molecules during severe sepsis.

    abstract::Early strategies to diagnose, manage and predict outcome of sepsis are essential to further improve morbidity and mortality of sepsis. Whereas biomarkers have become mainstay in other fields of medicine, their clinical utility in sepsis remains generally much less proven and so biomarkers are much less used clinically...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Douglas JJ,Roussel JA

    更新日期:2016-03-01 00:00:00

  • Long-term extracorporeal membrane oxygenation with minimal ventilatory support: a new paradigm for severe ARDS?

    abstract::Pulmonary tuberculosis can lead to acute respiratory distress syndrome (ARDS) which is associated with high mortality. We report the case of a patient with pulmonary tuberculosis and severe ARDS (PaO2/FiO2<100 mmHg) who was initially managed with advanced up-to-date treatments (protective ventilation and extracorporea...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mauri T,Foti G,Zanella A,Bombino M,Confalonieri A,Patroniti N,Bellani G,Pesenti A

    更新日期:2012-03-01 00:00:00

  • Strategies for effective postoperative pain management.

    abstract::Postoperative pain management an important clinical issue. The clinicians tool-bag remains incomplete. Improvements in the management of postoperative pain will ultimately translate into the broader, safer application of surgical procedures upon a wider patient population. The application of multimodal therapy that in...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Diaz G,Flood P

    更新日期:2006-03-01 00:00:00

  • Epidemiology and outcome of sepsis syndromes in Italian ICUs: a muticentre, observational cohort study in the region of Piedmont.

    abstract:BACKGROUND:Sepsis is an important cause of mortality and morbidity in the intensive care unit (ICU). We performed a study to describe the epidemiology of sepsis syndromes in patients admitted to ICUs of the Piedmont region. METHODS:In this prospective, multicentre, observational study, all 3902 patients admitted to a ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Sakr Y,Elia C,Mascia L,Barberis B,Cardellino S,Livigni S,Fiore G,Filippini C,Ranieri VM

    更新日期:2013-09-01 00:00:00

  • Processing a manuscript submitted to a medical journal.

    abstract::Peer review is the process by which manuscripts submitted to medical journals are evaluated for scientific soundness and priority, and potentially improved in terms of clarity. Constructive interaction between editors, reviewers, and authors is critical for the effectiveness of the entire process. Although empirical e...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cavaliere F,Antonelli M

    更新日期:2009-10-01 00:00:00

  • Presurgical cognitive impairment is associated with postoperative delirium and postoperative cognitive dysfunction.

    abstract:BACKGROUND:Presurgical cognitive impairment (PreCI) is frequently seen in older age, but the influence on postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) remains unclear. The present study sought to determine the association between PreCI, POD and POCD with special focus to different PreCI d...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.13903-8

    authors: Knaak C,Brockhaus WR,Spies C,Borchers F,Piper SK,Radtke FM,Lachmann G

    更新日期:2020-04-01 00:00:00

  • ["ARCHIDIA": a system for patients' data collection and computerized filing. Part I. Methodology].

    abstract::This report describes a computer based program of patient clinical data collection: the ARCHIDIA system. The project relies on descriptive analysis of clinical events according to well defined methodological criteria. This allows the formulation of a concise diagnosis which is, at the same time, exhaustive of all esse...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Carugo D,Dei Poli M,Guarino A,Navalesi P,Radrizzani D,Ravizza A,Roveda F,Sicignano A,Vesconi S

    更新日期:1994-05-01 00:00:00

  • [Experience of an intermediate respiratory intensive therapy in the treatment of prolonged weaning from mechanical ventilation].

    abstract::109 patients who suffered from an episode of acute respiratory failure, necessitated mechanical ventilation (MV) in a general Intensive Care Unit (ICU) and admitted to our Respiratory Intermediate Intensive Unit (RIIU), were retrospectively evaluated for outcome and weaning success. The patients, 69 +/- 9 years old, p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitacca M,Clini E,Porta R,Sereni D,Ambrosino N

    更新日期:1996-03-01 00:00:00

  • [Levobupivacaine in obstetric analgesia and anaesthesia].

    abstract:METHODS:Published studies, including abstracts, has been reviewed and summarized. RESULTS:Studies in sheep have demonstrated no significant differences in pharmacokinetic and placental transfer of levobuvacaine when compared with bupivacaine. Clinical studies on cesarean section confirmed similar performance between t...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Capogna G,Celleno D,Camorcia M

    更新日期:2001-09-01 00:00:00

  • Comparison of intrathecal hyperbaric and isobaric levobupivacaine in urological surgery.

    abstract:AIM:The aim of our study was to compare the efficacy of hyperbaric and isobaric solutions of intrathecal levobupivacaine for transurethral endoscopic surgery. METHODS:Urological patients who were scheduled for elective surgery under spinal anesthesia were enrolled. The heavy group received 13.5 mg of hyperbaric levobu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Sen H,Purtuloglu T,Sizlan A,Yanarates O,Ates F,Gundu I,Ozkan S,Dagli G

    更新日期:2010-01-01 00:00:00

  • New approaches for empiric therapy in Gram-positive sepsis.

    abstract::Nosocomial bloodstream infections (BSIs) have become an important cause of morbidity and mortality, particularly in intensive care units (ICUs). Gram-positive organisms are the prevalent causes of antibiotic-resistant BSI, especially Staphylococcus aureus, coagulase-negative staphylococci and enterococci. In recent ye...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Bassetti M,Ginocchio F,Giacobbe DR

    更新日期:2011-08-01 00:00:00

  • [Physiopathology of acute respiratory failure in COPD and asthma].

    abstract::Asthma and chronic obstructive pulmonary diseases (COPD) lead to functional obstruction of airways, identified by increased inspiratory and expiratory resistances. Increased expiratory resistances cause, in turn, a reduction in expiratory flow. The analysis of flow-volume loops shows that, as the disease progresses, t...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Mergoni M,Rossi A

    更新日期:2001-04-01 00:00:00

  • Basic guide to chronic pain assessment: from neurophysiology to bedside.

    abstract::Chronic musculoskeletal pain is a highly prevalent condition that is commonly encountered in both general and specialist practice. Nonetheless, it still represents a significant challenge to the practitioners because of the lack of substantial evidence-based guidance. This review aimed to summarize the main pathophysi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14573-5

    authors: Finco G,Evangelista M,Sardo S

    更新日期:2020-12-01 00:00:00

  • Update on anesthetic complications of robotic thoracic surgery.

    abstract::In the last decade, there has been increasing use of the da Vinci® robot surgical system to perform minimally invasive thoracic surgery. The robotic technology can be applied for surgery of the lungs, mediastinum, and esophagus. A number of case reports have been shown steep learning curve, and promising surgical outc...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Campos J,Ueda K

    更新日期:2014-01-01 00:00:00

  • [An index of daily intensive care unit activity].

    abstract:OBJECTIVE:To set up an index for the evaluation of type of interventions and procedures applied a prerequisite for the evaluation of appropriateness of ICU's activity. DESIGN:Observation prospective study. PATIENTS:2507 patients out of the 5030 enrolled in the cohort study. MEASUREMENTS:A cross-sectional assessment ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Rotelli S,Iapichino G,Colombo A,Apolone G,Brazzi L,Calappi E,Leonetti C

    更新日期:1997-11-01 00:00:00