Respiratory physiotherapy of preoperative cholecystectomy
Main Article Content
Abstract
Introduction: The high abdominal surgeries cause changes in lung function characterized by reduced vital capacity, related to the presence of hypoxemia and atelectasis, and reduced forced expiratory volume in one second. Case report: A female patient, aged 29, a medical diagnosis of hiatal hernia and gallstones, functional diagnosis of low cardiorespiratory performance, three months of preoperative cholecystectomy. The assessment comprised demographics, spirometry test, six-minute walk test (6MWT), measurement of respiratory pressures by manometer and the level of quality of life using the SF-36. Then we applied a protocol of respiratory therapy and reassessment after treatment. At baseline was found that the patient was overweight (BMI=27.40 kg/m2), low cardiorespiratory performance and weakness of the respiratory muscles. Conclusion: The guideline was effective because it helped in reducing body weight and improved cardiorespiratory performance through cardio and strength gains afforded the respiratory muscles.
Downloads
Article Details
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.References
Gastaldi AC, Magalhães CMB, Baraúna MA, Silva EMC, Souza HCD. Benefits of postoperative respiratory kinesiotherapy following laparoscopic cholecystectomy. Rev Bras Fisioter. 2008;12(2):100-6. http://dx.doi.org/10.1590/S1413-35552008000200005
Celli B. Perioperative respiratory care of the patient undergoing upper abdominal surgery. Chest. 1993;14(2):253-61.
Santos JS, Sankarankutty AK, Salgado-Júnior W, Kemp R, Módena JLP, Elias-Júnior J, et al. Colecistectomia: aspectos técnicos e indicações para o tratamento da litíase biliar em neoplasias. Medicina. 2008;41(4):449-64.
Ramos GC, Pereira E, Gabriel-Neto S, Oliveira EC. Repercussão respiratória funcional após colecistectomia com incisão subcostal: efeito analgésico da morfina. Rev Col Bras Cir. 2009;36(2):139-43. http://dx.doi.org/10.1590/S0100-69912009000200009
Shauer PR, Luna J, Ghiatas AA, Glen ME, Warren JM, Sirinek K. Pulmonary function after laparoscopy cholecystectomy. Surgery. 1993;114(2):389-97.
Erice S, Fox GS, Salib YM, Romano E, Meakins JL, Magder SA. Diaphragmatic function before and after laparoscopy cholecystectomy. Anesthesiology.1993;79(5):966-75. http://dx.doi.org/10.1097/00000542-199311000-00015
Rodrigues CP, Costa NST, Alves LA, Gonçalves CG. Efeito do treinamento muscular respiratório em pacientes submetidos à colecistectomia. Semina. 2010;31(2):137-42.
Roceto LS, Takara LS, Machado L, Zambon L, Saad IAB. Eficácia da reabilitação pulmonar uma vez na semana em portadores de doença pulmonar obstrutiva. Rev Bras Fisioter. 2007;11(6):475-80. http://dx.doi.org/10.1590/S1413-35552007000600009
American Thoracic Society. Standardization of Spirometry, 1994 update. Am J Resp Crit Care. 1995;152(3):1107-36. http://dx.doi.org/10.1164/ajrccm.152.3.7663792
Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res. 1999;32(6):719-27. http://dx.doi.org/10.1590/S0100-879X1999000600007
Brito RR, Sousa LAP. Teste de caminhada de seis minutos uma normatização brasileira. Fisioter Mov. 2006;19(4):49-54.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.
Ortiz LDN, Schaan CW, Leguisamo CP, Tremarin K, Matos WLLD, Kalil RAK, et al. Incidence of pulmonary complications in myocardial revascularization. Arq Bras Cardiol. 2010;95(4):441-47. http://dx.doi.org/10.1590/S0066-782X2010005000115
Fenner AP, Lazzari JH, Oliveira TB, Ferreira ENN. Prevalência de asma e rinite alérgica em escolares do município de Santo Ângelo/RS. Rev AMRIGS. 2009;53(2):122-27.
Dias CM, Plácido TR, Ferreira MFB, Guimarães FS, Menezes SLS. Inspirometria de incentivo e breath stacking: repercussões sobre a capacidade inspiratória em indivíduos submetidos à cirurgia abdominal. Rev Bras Fisioter. 2008;12(2):94-9. http://dx.doi.org/10.1590/S1413-35552008000200004