Effects of pre-operative inspiratory muscular training in patients subject to cardiac surgery: a systematic review
DOI:
https://doi.org/10.33233/rbfex.v21i3.4734Keywords:
respiratory training, chest surgery, cardiac surgeryAbstract
Introduction: The diseases that affect the cardiovascular system often lead the patient to undergo cardiac surgery in search of better survival. This surgical procedure is associated with a high incidence of postoperative complications related to respiratory function. Preoperative inspiratory muscle training (IMT) can benefit patients who will undergo cardiac surgery. Objective: Systematic review of randomized clinical trials, informing the effects of preoperative inspiratory muscle training in patients undergoing cardiac surgery. Methods: The search for randomized clinical trials was carried out by two authors, including the Medline, PubMed, PEDro and Scielo databases. The methodological quality of the articles was assessed using the PEDro scale and the risk of bias was scored using the Review Manager version 5.4 software from the Cochrane Collaboration. Results: Initially, a total of 85 articles were identified in the databases. Five articles were included for data extraction. The main outcomes of this systematic review are: maximum inspiratory pressure (PImax); forced expiratory volume in the first second (FEV1); forced vital capacity; pneumonia, duration of postoperative hospitalization and postoperative pulmonary complication. Conclusion: The IMT performed in the preoperative period adds benefits that include prevention of postoperative pulmonary complications, increasing the PImax and FEV1, reducing the occurrence of pneumonia and reducing the length of postoperative hospital stay.
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