Research progress on preoperative inspiratory muscle training for prevention of postoperative pulmonary complications in adult cardiac surgery
- VernacularTitle:术前吸气肌训练预防成人心脏手术患者术后肺部并发症的最新进展
- Author:
Zeruxin LUO
1
;
Yuqiang WANG
2
;
Yaxin ZHOU
1
;
Yingqiang GUO
2
;
Pengming YU
3
Author Information
1. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
3. 1. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China 3. Key Laboratory of Rehabilitation Medicine of Sichuan Province, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Cardiac surgery;
postoperative pulmonary complications;
inspiratory muscle training;
pre-rehabilitation;
enhanced recovery after surgery;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(10):1519-1523
- CountryChina
- Language:Chinese
-
Abstract:
In the past two decades, adult cardiac surgery has developed by leaps and bounds in both anesthetic techniques and surgical methods, whereas the incidence of postoperative pulmonary complications (PPCs) has not changed. Until now PPCs are still the most common complications after cardiac surgery, resulting in poor prognosis, significantly prolonged hospital stays and increased medical costs. With the promotion of the concept of enhanced recovery after surgery (ERAS), pre-rehabilitation has been becoming a basic therapy to prevent postoperative complications. Among them, preoperative inspiratory muscle training as a very potential intervention method has been widely and deeply studied. However, there is still no consensus about the definition and diagnostic criteria of PPCs around the world; and there is significant heterogeneity in preoperative inspiratory muscle training in the prevention of pulmonary complications after cardiac surgery in adults, which impedes its clinical application. This paper reviewed the definition, mechanism, and evaluation tools of PPCs, as well as the role, implementation plan and challenges of preoperative inspiratory muscle training in the prevention of PPCs in patients undergoing cardiac surgery, to provide reference for clinical application.
