Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Physiotherapy in the Management of Post-operative Pulmonary Complications: A Critical Review of Literature


Affiliations
1 Coventry University, Coventry, United Kingdom
2 Coventry University, Coventry, India
3 Maya Corporate Paramedical Research Institute, Cheyyar, Tamilnadu, India
4 Maya Corporate Paramedical Research Institute Cheyyar, Tamilnadu, India
     

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Introduction: Postoperative pulmonary complications are the leading cause of postoperative morbidity and mortality and increase in the length of stay in hospital, medical consumption, and expenses. Physiotherapy treatment for patients with post-operative pulmonary complications consists of a variety of interventions which includes lung expansion exercises, secretion clearance techniques, limb exercises, progressive mobilisation programs, and other techniques.

Aims&Objectives: To explore and present the evidence of the effectiveness of physiotherapy in the management of PPCs, the barriers for physiotherapy in critical care, the techniques and the physiological effects of Physiotherapy through a literature based review.

Search Method: All relevant databases like AMED, CINAHL, PUBMED and Cochrane databases for systematic reviews were searched and evaluated to find the relevant researches on the topic.

Conclusions: Non-invasive respiratory muscle aids are recommended in the treatment of atelectasis and pneumonia that occur after abdominal surgery.


Keywords

Physiotherapy, Exercises, Atelectasis, Pneumonia, Spirometry, Intermittent Positive Pressure Breathing (IPPB), Nasal Intermittent Positive Pressure Ventilation (NIPPV)
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  • Physiotherapy in the Management of Post-operative Pulmonary Complications: A Critical Review of Literature

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Authors

S. Shamy
Coventry University, Coventry, United Kingdom
A. Aaradhya
Coventry University, Coventry, India
A. G. Kumar
Maya Corporate Paramedical Research Institute, Cheyyar, Tamilnadu, India
R. Madhan
Maya Corporate Paramedical Research Institute Cheyyar, Tamilnadu, India

Abstract


Introduction: Postoperative pulmonary complications are the leading cause of postoperative morbidity and mortality and increase in the length of stay in hospital, medical consumption, and expenses. Physiotherapy treatment for patients with post-operative pulmonary complications consists of a variety of interventions which includes lung expansion exercises, secretion clearance techniques, limb exercises, progressive mobilisation programs, and other techniques.

Aims&Objectives: To explore and present the evidence of the effectiveness of physiotherapy in the management of PPCs, the barriers for physiotherapy in critical care, the techniques and the physiological effects of Physiotherapy through a literature based review.

Search Method: All relevant databases like AMED, CINAHL, PUBMED and Cochrane databases for systematic reviews were searched and evaluated to find the relevant researches on the topic.

Conclusions: Non-invasive respiratory muscle aids are recommended in the treatment of atelectasis and pneumonia that occur after abdominal surgery.


Keywords


Physiotherapy, Exercises, Atelectasis, Pneumonia, Spirometry, Intermittent Positive Pressure Breathing (IPPB), Nasal Intermittent Positive Pressure Ventilation (NIPPV)