Comparison of two methods of postoperative respiratory care.
作者： Shuji Dohi , Martin I. Gold
关键词:
摘要: After abdominal surgery, 64 patients were managed with one of the following two techniques respiratory care: (1) deep breathing by way a new device, an incentive spirometric three-ball, flow-measuring device (Triflo); and (2) standard episodic intermittent positive-pressure (IPPB) every four hours. Both series received therapy bronchodilator drug nebulization. All had preoperative measurements followed five consecutive days spirometry. Chest x-ray films obtained for all patients. There no significant differences between methods care, but 57 percent (17/30) in group receiving IPPB developed pneumonia, atelectasis, or bronchitis, while only 29 (10/34) did so using (P
sci-hub.se 参考文章(22)
Stenby Vb, Leiner Gc, Small Mj, Abramowitz S, Lewis Wa, EXPIRATORY PEAK FLOW RATE. STANDARD VALUES FOR NORMAL SUBJECTS. USE AS A CLINICAL TEST OF VENTILATORY FUNCTION. The American review of respiratory disease. ,vol. 88, pp. 644- 651 ,(1963) , 10.1164/ARRD.1963.88.5.644
James P. Baker, Magnitude of Usage of Intermittent Positive Pressure Breathing1 The American review of respiratory disease. ,vol. 110, pp. 170- ,(1974) , 10.1164/ARRD.1974.110.6P2.170
R. Zickmantel, B. G. Ferris, D. O. Anderson, Prediction Values for Screening Tests of Pulmonary Function1, 2 The American review of respiratory disease. ,vol. 91, pp. 252- ,(2015) , 10.1164/ARRD.1965.91.2.252
FRED G. WRIGHT, MARY F. FOLEY, JOHN B. DOWNS, MICHAEL R. HODGES, Hypoxemia and hypocarbia following intermittent positive-pressure breathing. Anesthesia & Analgesia. ,vol. 55, pp. 555- 559 ,(1976) , 10.1213/00000539-197607000-00023
MARTIN I. GOLD, Editorial: Is intermittent positive pressure breathing therapy (IPPB RX) necessary in the surgical patient? Annals of Surgery. ,vol. 184, pp. 122- 123 ,(1976) , 10.1097/00000658-197607000-00020
Ronald G. Latimer, Marion Dickman, W.Clinton Day, Margaret L. Gunn, C.DuWayne Schmidt, Ventilatory patterns and pulmonary complications after upper abdominal surgery determined by preoperative and postoperative computerized spirometry and blood gas analysis American Journal of Surgery. ,vol. 122, pp. 622- 632 ,(1971) , 10.1016/0002-9610(71)90290-X
Gary L. Fanning, Frank J. Colgan, Paul D. Mahoney, Resistance Breathing (Blow Bottles) and Sustained Hyperinflations in the Treatment of Atelectasis Anesthesiology. ,vol. 32, pp. 543- 550 ,(1970) , 10.1097/00000542-197006000-00017
Gerard P. Sheldon, IPPB: Yes or No? Chest. ,vol. 69, pp. 133- 134 ,(1976) , 10.1378/CHEST.69.1.133
K. N. V. Palmer, Pulmonary Function in the Surgical Patient Postgraduate Medical Journal. ,vol. 42, pp. 421- 427 ,(1966) , 10.1136/PGMJ.42.489.421
Robert H. Bartlett, Respiratory Maneuvers to Prevent Postoperative Pulmonary Complications JAMA. ,vol. 224, pp. 1017- 1021 ,(1973) , 10.1001/JAMA.1973.03220210035008