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Abstract

Surgical Medicine Open Access Journal

Protocol Based on Vital Capacity Influences the Functional Capacity in Patients Submitted to Cardiac Surgery

Submission: June 21, 2018;Published: September 17, 2018

DOI: 10.32031/SMOAJ.2018.02.000532

ISSN : 2578-0379
Volume2 Issue1

Abstract

Introduction: Respiratory functional assessment is of paramount importance, since it estimates and monitors the behavior of lung volumes and capacities, especially vital capacity (CV), which is frequently reduced in patients undergoing cardiac surgery. Objective: To evaluate the impact of a physiotherapeutic protocol based on CV on the functional capacity in patients in the postoperative period (PO) of CC.

Methods: This is a randomized, controlled clinical trial. The patients were divided into two groups: control group (CG) was conducted according to the unit routines, while the intervention group (GI) underwent a pulmonary expansion protocol based on CV. In addition, a six-minute walk test (6MWT) was performed to assess functional capacity.

Result: The final sample consisted of 40 patients (20 in each group), 26 men (65%) and mean age 53±16 years. CV on the day of hospital discharge was significantly higher in GI (36.04±6.03 vs 30.83±7.5ml/kg, p=0.01), and the same CV behavior was observed in the day Of hospital discharge (25.9±9.5 vs 36.0±6.0ml/kg, p< 0.001). Regarding the 6MWT at hospital discharge, the GC ranged 413±90 meters versus 486±116 meters (p=0.03).

Conclusion: A CV-based pulmonary expansion protocol is associated with a significant increase in functional capacity in patients undergoing cardiac surgery.

Keywords: Vital Capacity; Functionality; Cardiac surgery

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