Efeito da fisioterapia respiratória nas complicações pulmonares pós-operatórias em pacientes submetidos à esofagectomia / Effect of chest physiotherapy on respiratory complications in patients undergoing oesophagectomy

AUTOR(ES)

Adriana Claudia Lunardi

DATA DE PUBLICAÇÃO

2006

RESUMO

The main goal of the present study was to evaluate the effect of late postoperative chest physiotherapy on pulmonary complications in patients submitted to oesophagectomy. This retrospective study involved a sample of 70 consecutive oesophagectomy patients (none excluded) who were divided into two groups as follows: control group (no physiotherapy) and chest physiotherapy group. Patients receiving chest physiotherapy were not submitted to positive airway pressure ventilation. Our results show that patients in the control group were similar to those in the chest physiotherapy group in terms of age and body mass index (53.5 ± 12.5 years vs. 56.5 ± 14.2 years; 22.3 ± 3.4 kg/m2 vs. 22.6 ± 3.9 kg/m2). Patients in the control group and chest physiotherapy group, respectively, also presented the same rate of surgery for malignant disease (80% vs. 80%), surgical time (370 vs. 390 min) and anaesthesia duration (483.8 ± 98.4 min vs. 496.8 ± 125.7 min). Patients in the chest physiotherapy group less frequently presented pulmonary complications (15% vs. 36.3%; p <0.05), pleural effusion (10% vs. 23%), atelectasis (2.5% vs. 3.3%), and bronchopneumonia (2.5% vs. 10%). Among chest physiotherapy group patients, antibiotic (thirdgeneration cephalosporins) treatment regimens were of shorter duration (p <0.05). In addition, right hemithorax drainage was less prolonged among the chest physiotherapy group patients (p <0.05). Our results suggest that chest physiotherapy reduces pulmonary complications in patients undergoing oesophagectomy.

ASSUNTO(S)

esophagectomy physical therapy (specialty) abdome/cirurgia abdomen/surgery esophageal neoplasms fisioterapia (especialidade) cuidados pós-operatórios postoperative complications postoperative care esofagectomia complicações pós-operatórias neoplasias esofágicas

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