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Ned Tijdschr Geneeskd · Nov 2007
Comment[Prevention of postoperative pulmonary complications by preoperative training].
- A J van 't Hul and P E Postmus.
- Stichting Revalidatiecentrum Breda, Brabantlaan 1, 4817 JW Breda. a.vanthul@rcbreda.nl
- Ned Tijdschr Geneeskd. 2007 Nov 10;151(45):2491-3.
AbstractPostoperative pulmonary complications are the main cause of morbidity and mortality after surgery. A likely explanation is dysfunction of the respiratory muscles, in particular the diaphragm, which results in rapid, shallow breathing and ultimately-in closing of the airways, atelectasis and hypoxaemia. Breathing exercises in the perioperative period, despite a good rationale, were in general not found to be effective. A promising new approach is specific training of inspiratory muscles. A randomized clinical trial, published in this issue of the journal, found this to be effective in patients at increased risk for postoperative complications who underwent cardiac surgery.
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