Application Breathing Exercises With Load Inspiratory Postoperative Abdominal Surgery
Pulmonary Atelectasis, Respiratory Tract Diseases, Pathological Conditions, Signs and Symptoms
About this trial
This is an interventional treatment trial for Pulmonary Atelectasis focused on measuring Morbid obesity, bariatric surgery, Respiratory muscle endurance, Respiratory muscle strength, spirometry, physiotherapy
Eligibility Criteria
Inclusion Criteria:
- BMI between 40 and 55 Kg/m²
- Aged between 25 and 55 years
- Submitted to Roux-en-Y type gastric by-pass by laparotomy
- Normal preoperative pulmonary function test
Exclusion Criteria:
- Hemodynamic instability
- Hospital stay longer than three days
- Presence of postoperative complications
- Smoking
Sites / Locations
- Universidade Metodista de Piracicaba (UNIMEP) 13400911
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
No Intervention
Experimental
Experimental
Experimental
Experimental
Control
Incentive spirometry to flow
incentive spirometry to volume
inspiratory load equipment-Threshold
inspiratory load equipment-Power breathe
Individuals will be treated with conventional physiotherapy according to the routine service of physiotherapy of the hospital.
Was determined for this study that the flow of inspired air will be sufficient to raise up to three spheres. In addition to direct them to do explosive, fast and deep, lifting the ball explosively breaths. Every fifteen inspirations volunteers will be invited to rest for intervals of 30-60 seconds and repeat six times. The use of incentive spirometry was adapted from the recommendations of the American Association for Respiratory Care (1991).
Use of this incentive spirometry will be done as follows: the participants will be instructed to inhale deeply through the mouthpiece, to total lung capacity, starting from functional residual capacity. Will be performed 6 sets of 15 breaths each (deep, slow and sustained) intervals with 30-60 seconds between each series.
This group will use the device Threshold™. Where adjustment is considered 40% of PNSN achieved by the patient evaluation. The volunteer will be instructed to remain in a supine position with 45 ° fowler comfortably with arms and shoulders relaxed and perform an inspiration with enough force to overcome the linear load of the device, then make a normal expiration. This study was determined to carry six sets of 15 repetitions. The rest will be about one to two minutes in each intervention.
To exercise inspiratory muscle in this group will be used device Power breathe ® K2 have the same resistance setting, allowing us to tailor your level of inspiratory muscles. Such adjustment will be made considering 40% of PNSN achieved by the patient in the assessment sniff. For its implementation, the patient will be lying with a tilt of the head of the litter at 45 °, the patient will be asked to inspire to overcome the resistance of the linear unit and after performing a normal expiration. This group will also be achieved 6 series with 15 repetitions each, with an interval of one to two minutes between sets.