THRESHOLD USE WITH EXPIRATORY PRESSURE DURING LOBECTOMY POST-OPERATION PERIOD

  • Marina Maldaner UPF
  • Viviane Rech UPF
  • João Isidro Fracasso UPF
  • Amanda Sachetti UFRGS
Keywords: Expirometry, Lobectomy, Respiratory Muscles

Abstract

Lung lobectomy is one of the most frequent resection surgeries to treat lung illnesses. Respiratory apparatuses have been exploited in the post-operation period to provide gas exchange, improve respiratory standards, prevent or revert atelectasis and promote strengthening of the muscle. Current study evaluates forced vital capacity (FVC), expiratory volume during the first second (EVS1) and Tiffeneu Index (EVS1/FVC) in the pre-operation, first and third days during the lobectomy pos-operation period, by PEP Threshold. Seven patients were evaluated by expirometry to measure volumes and manovacuometry to measure Threshold PEP load that would be employed on the 1st and 3rd post-operation days. Data were found (p 0.05) for FVC pre-(3.45±1.20) with regard to the 1st post-2.06±0.86) and also 1st post (2.06±0.86) and with regard to the 3rd post (2.89±1.13). In the case of EVS1, there was significance in three variables, pre (2.73±0.87) and 1st post (2.06±0.86); pre (2.73±0.87) and 3rd post (2.89±1.13) and 1st post (2.06±0.86) with regard to 3rd post (2.89±1.13). Positive results for expirometric volumes were obtained by Threshold PEP in patients during post-lobectomy post-operatory period.

Author Biographies

Marina Maldaner, UPF
Fisioterapeuta formada pela Universidade de Passo Fundo - RS
Viviane Rech, UPF
Fisioterapeuta - Doutora em Ciências da Saúde - UTAD/UFRN, pesquisadora HSVP e HC e docente Universidade de Passo Fundo - RS
João Isidro Fracasso, UPF
Médico Especialista em cirurgia torácica, docente Universidade de Passo Fundo - RS
Amanda Sachetti, UFRGS
Fisioterapeuta formada pela Universidade de Passo Fundo/RS, mestranda/bolsista CAPES em Ciências Pneumológicas pela Universidade Federal do Rio Grande do Sul - UFGRS
Published
2014-03-25
Section
Artigos Originais