Effectiveness of preoperative respiratory training to reduce respiratory complications in adult patients postoperative major surgery

Abstract

Objective: To systematize the evidence on the effectiveness of preoperative respiratory training in preventing respiratory complications in adult patients after major surgery.

Materials and methods: This is a systematic review of 10 articles selected for their effectiveness in preoperative respiratory training to reduce respiratory complications in adult patients post-major surgery, corresponding to the period 2011 to 2016. The studies are of a quantitative type and were obtained from databases such as Cochrane, Epistemonikos, Scielo, Pubmed, Uninave, and Journal of Physiotherapy. The Grade scale was applied to assess the strength and quality of the evidence.

Results: According to the results of this study, by study design: 80% (8/10) were systematic reviews, 10% (1/10) were quasi-experimental, and 10% (1/10) were experimental. By quality type: 90% (9/10) were of high quality, and 10% (1/10) were of moderate quality. 100% of the articles demonstrated that preoperative respiratory training is effective in reducing respiratory complications in adult patients after major surgery.

Conclusions: All 10 articles demonstrate the effectiveness of preoperative respiratory training in reducing respiratory complications in adult patients after major surgery.

Objetivo: Sistematizar las evidencias de la efectividad del entrenamiento respiratorio preoperatorio para prevenir complicaciones respiratorias en pacientes adultos postoperados de cirugía mayor Revisión sistemática de 10 artículos seleccionados de efectividad del entrenamiento respiratorio en el preoperatorio para disminuir complicaciones respiratorias en pacientes adultos postoperados que corresponden al periodo 2011 a 2016. Son de tipo cuantitativo se obtuvieron de la base de datos; de Cochrane, Epistemonikos, Scielo, Pubmed, Uninave, Journalofphisiotherapy y se les aplicaron la escala Grade evidenciando su fuerza y calidad de evidencia. Según los resultados obtenidos de este estudio tenemos que por el tipo de diseño: 80% (8/10) revisión sistemática, 10% (1/10) cuasiexperimental, 10% (1/10) experimental. Por el tipo de calidad: 90% (9/10) de alta calidad, 10% (1/10) de moderada calidad. El 100% de los artículos evidencian que el entrenamiento respiratorio en el preoperatorio es efectivo para disminuir complicaciones respiratorias en el postoperatorio de cirugía mayor en pacientes adultos. Conclusiones. - de los 10 artículos 10 demuestran la efectividad del entrenamiento respiratorio en el preoperatorio para disminuir complicaciones respiratorias en pacientes adultos postoperados de cirugía mayor