Original Article

Three physiotherapy protocols: Effects on pulmonary volumes after cardiac surgery

Três protocolos fisioterapêuticos: Efeitos sobre os volumes pulmonares após cirurgia cardíaca

Cristina Márcia Dias, Raquel de Oliveira Vieira, Juliana Flávia Oliveira, Agnaldo José Lopes, Sara Lúcia Silveira de Menezes, Fernando Silva Guimarães

J Bras Pneumol.2011;37(1):54-60

Objective: To evaluate inspiratory volume in patients undergoing cardiac surgery and to determine the effects that incentive spirometry (IS) and the breath stacking (BS) technique have on the recovery of FVC in such patients. Methods: A prospective, controlled, randomized clinical trial involving 35 patients undergoing cardiac surgery at the Hospital de Força Aérea do Galeão (HFAG, Galeão Air Force Hospital), in the city of Rio de Janeiro, Brazil. The patients, all of whom performed mobilization and cough procedures, were randomly divided into three groups: exercise control (EC), performing only the abovementioned procedures; IS, performing the abovementioned procedures and instructed to take long breaths using an incentive spirometer; and BS, performing the abovementioned procedures, together with successive inspiratory efforts using a facial mask coupled to a unidirectional valve. Forced spirometry was carried out in the preoperative period and on postoperative days 1 to 5. During the maneuvers, inspiratory volume was measured in the IS and BS groups. Results: On postoperative day 1, FVC significantly decreased in all groups (EC: 87.1 vs. 32.0%; IS: 75.3 vs. 29.5%; and BS: 81.9 vs. 33.2%; p < 0.001 for all), as did inspiratory volume in the IS and BS groups (2.29 vs. 0.82 L; and 2.56 vs. 1.34 L, respectively; p < 0.001 for both). Between postoperative days 1 and 5, FVC partially normalized in all groups (EC: 32.0 vs. 51.3%; IS: 29.5 vs. 46.7%; and BS: 33.3 vs. 54.3%; p < 0.001 for all). During the postoperative period, inspiratory volume was significantly higher in the BS group than in the IS group. Conclusions: The three protocols were equivalent concerning the recovery of FVC on the first five postoperative days. When compared with IS, the BS technique promoted higher inspiratory volumes in this sample of postoperative cardiac patients. (ClinicalTrials.gov Identifier:NCT01074957 [http://www.clinicaltrials.gov/])

Keywords: Postoperative complications; Thoracic surgery; Physical therapy modalities.

Effects of the breath stacking technique after upper abdominal surgery: a randomized clinical trial

Efeitos da técnica de breath stacking após cirurgia abdominal alta: ensaio clínico randomizado

Débora da Luz Fernandes1, Natiele Camponogara Righi1, Léo José Rubin Neto2, Jéssica Michelon Bellé2, Caroline Montagner Pippi2, Carolina Zeni do Monte Ribas2, Lidiane de Fátima Ilha Nichele3, Luis Ulisses Signori4, Antônio Marcos Vargas da Silva4

J Bras Pneumol.2022;48(1):e20210280

Objective: To evaluate the effect of the association of the breath stacking (BS) technique associated with routine physiotherapy on pulmonary function, lung volumes, maximum respiratory pressures, vital signs, peripheral oxygenation, thoracoabdominal mobility, and pain in the surgical incision in patients submitted to upper abdominal surgery during the postoperative period, as well as to analyze BS safety. Methods: This was a randomized clinical trial involving 34 patients divided into a control group (CG; n = 16), who underwent conventional physiotherapy only, and the BS group (BSG; n = 18), who underwent conventional physiotherapy and BS. Both groups performed two daily sessions from postoperative day 2 until hospital discharge. The primary outcomes were FVC and Vt. The safety of BS was assessed by the incidence of gastrointestinal, hemodynamic, and respiratory repercussions. Results: Although FVC significantly increased at hospital discharge in both groups, the effect was greater on the BSG. Significant increases in FEV1, FEV1/FVC ratio, PEF, and FEF25-75% occurred only in the BSG. There were also significant increases in Ve and Vt in the BSG, but not when compared with the CG values at discharge. MIP and MEP significantly increased in both groups, with a greater effect on the BSG. There was a significant decrease in RR, as well as a significant increase in SpO2 only in the BSG. SpO2 acutely increased after BS; however, no changes were observed in the degree of dyspnea, vital signs, or signs of respiratory distress, and no gastrointestinal and hemodynamic repercussions were observed. Conclusions: BS has proven to be safe and effective for recovering pulmonary function; improving lung volumes, maximum respiratory pressures, and peripheral oxygenation; and reducing respiratory work during the postoperative period after upper abdominal surgery.

Keywords: Abdomen/surgery; Pulmonary ventilation; Physical therapy modalities. (ClinicalTrials.gov identifier: NCT 04418700 [http://www.clinicaltrials.gov/])

Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children

Videotoracoscopia como uma opção no tratamento cirúrgico do quilotórax após cirurgia cardíaca pediátrica

Paulo Manuel Pego-Fernandes, Mauro Boldrini Nascimbem, Otávio T. Ranzani, Mônica Satsuki Shimoda, Rosângela Monteiro, Fábio Biscegli Jatene

J Bras Pneumol.2011;37(1):28-35

Accuracy of chest auscultation in detecting abnormal respiratory mechanics in the immediate postoperative period after cardiac surgery

Acurácia da ausculta torácica na detecção de mecânica respiratória anormal no pós-operatório imediato de cirurgia cardíaca

Glaciele Xavier1,2,a, César Augusto Melo-Silva1,3,b, Carlos Eduardo Ventura Gaio dos Santos1,4,c, Veronica Moreira Amado1,4,d

J Bras Pneumol.2019;45(5):e20180032

Comparison of the effects of voluntary and involuntary breath stacking techniques on respiratory mechanics and lung function patterns in tracheostomized patients: a randomized crossover clinical trial

Comparação dos efeitos das técnicas breath stacking e air stacking sobre a mecânica respiratória e o padrão ventilatório em pacientes traqueostomizados: ensaio clínico cruzado randomizado

Luciano Matos Chicayban1,2,3, Alice Campos Hemétrio3, Liz Tavares Rangel Azevedo3

J Bras Pneumol.2020;46(4):e20190295

Effects of azathioprine on mucociliary clearance after bronchial section and anastomosis in a rat experimental model

Efeitos da azatioprina sobre a depuração mucociliar após secção e anastomose brônquica em um modelo experimental em ratos

Paulo Manuel Pêgo Fernandes, Marcelo Manzano Said, Rogério Pazetti, Luis Felipe Pinho Moreira, Fabio Biscegli Jatene

J Bras Pneumol.2008;34(5):273-279

Effects of breathing exercises on breathing pattern and thoracoabdominal motion after gastroplasty

Efeitos de exercícios respiratórios sobre o padrão respiratório e movimento toracoabdominal após gastroplasti

Georgia Miranda Tomich, Danielle Corrêa França, Marco Túlio Costa Diniz, Raquel Rodrigues Britto, Rosana Ferreira Sampaio, Verônica Franco Parreira

J Bras Pneumol.2010;36(2):197-204

Influence of the ventilatory mode on acute adverse effects and facial thermography after noninvasive ventilation

Influência do modo ventilatório nos efeitos adversos agudos e na termografia da face após ventilação não invasiva

Suzy Maria Montenegro Pontes1, Luiz Henrique de Paula Melo2, Nathalia Parente de Sousa Maia3, Andrea da Nóbrega Cirino Nogueira3, Thiago Brasileiro Vasconcelos4, Eanes Delgado Barros Pereira5, Vasco Pinheiro Diógenes Bastos3, Marcelo Alcantara Holanda5

J Bras Pneumol.2017;43(2):87-94

Letters to the Editor

Accessory cardiac bronchus causing recurrent pulmonary infection

Brônquio cardíaco acessório causando infecções respiratórias de repetição

J Bras Pneumol.2014;40(4):448-449

Original Article

Melatonin effects on pulmonary tissue in the experimental model of Hepatopulmonary Syndrome

Efeitos da melatonina sobre o tecido pulmonar no modelo experimental de Síndrome Hepatopulmonar

Adriane Dal Bosco1,a, Filipe Boeira Schedler2,b, Josieli Raskopf Colares2,c, Elisângela Gonçalves Schemitt2,3,d, Renata Minuzzo Hartmann2,3,e, Luiz Alberto Forgiarini Junior4,f, Alexandre Simões Dias2,3,g, Norma Possa Marroni2,3,h

J Bras Pneumol.2019;45(3):e20170164

Effects of positive expiratory pressure on pulmonary clearance of aerosolized technetium-99m-labeled diethylenetriaminepentaacetic acid in healthy individuals

Efeitos da pressão expiratória positiva na depuração pulmonar do ácido dietilenotriaminopentacético marcado com tecnécio-99m em aerossol em indivíduos saudáveis

Isabella Martins de Albuquerque1, Dannuey Machado Cardoso2, Paulo Ricardo Masiero3, Dulciane Nunes Paiva4, Vanessa Regiane Resqueti5, Guilherme Augusto de Freitas Fregonezi5, Sérgio Saldanha Menna-Barreto6

J Bras Pneumol.2016;42(6):404-408

Brief Communication

Physical therapy in the immediate postoperative period after abdominal surgery

Atendimento fisioterapêutico no pós-operatório imediato de pacientes submetidos à cirurgia abdominal

Luiz Alberto Forgiarini Junior, Alexandra Torres de Carvalho, Tatiane de Souza Ferreira, Mariane Borba Monteiro, Adriane Dal Bosco, Marisa Pereira Gonçalves, Alexandre Simões Dias

J Bras Pneumol.2009;35(5):455-459

Original Article

Does thromboprophylaxis prevent venous thromboembolism after major orthopedic surgery?

A tromboprofilaxia evita o tromboembolismo venoso após cirurgia ortopédica de grande porte?

Evrim Eylem Akpinar, Derya Hosgün, Burak Akan, Can Ates, Meral Gülhan

J Bras Pneumol.2013;39(3):280-286

Effects of Pilates mat exercises on muscle strength and on pulmonary function in patients with cystic fibrosis

Efeitos do método Pilates na força muscular e na função pulmonar de pacientes com fibrose cística

Caroline Buarque Franco, Antonio Fernando Ribeiro, André Moreno Morcillo, Mariana Porto Zambon, Marina Buarque Almeida, Tatiana Rozov

J Bras Pneumol.2014;40(5):521-527

Influence of heart failure on resting lung volumes in patients with COPD

Influência da insuficiência cardíaca nos volumes pulmonares de repouso em pacientes com DPOC

Aline Soares de Souza, Priscila Abreu Sperandio, Adriana Mazzuco, Maria Clara Alencar, Flávio Ferlin Arbex, Mayron Faria de Oliveira, Denis Eunan O'Donnell, José Alberto Neder

J Bras Pneumol.2016;42(4):273-278

Lung volumes and airway resistance in patients with a possible restrictive pattern on spirometry

Volumes pulmonares e resistência das vias aéreas em pacientes com possível padrão restritivo à espirometria

Kenia Schultz1,2, Luiz Carlos D'Aquino3, Maria Raquel Soares4, Andrea Gimenez5, Carlos Alberto de Castro Pereira4,5

J Bras Pneumol.2016;42(5):341-347

Influence of pleural drainage on postoperative pain, vital capacity and six-minute walk test after pulmonary resection.

Influência do dreno pleural sobre a dor, capacidade vital e teste de caminhada de seis minutos em pacientes submetidos à ressecção pulmonar

Vanessa Pereira de Lima, Daniela Bonfim, Thais Telles Risso, Denise de Moraes Paisani, Julio Flavio Fiore Junior, Luciana Dias Chiavegato, Sonia Maria Faresin.

J Bras Pneumol.2008;34(12):1003-1007

Reference values for pulmonary volumes by plethysmography in a Brazilian sample of white adults

Valores de referência para volumes pulmonares por pletismografia em uma amostra brasileira de adultos da raça branca

Thamine Lessa1,a, Carlos Alberto de Castro Pereira2,b, Maria Raquel Soares2,c, Renato Matos3,d, Virgínia Pacheco Guimarães4,e, Giancarlo Sanches5,f, Roberto Helou Rassi6,g, Israel Maia7,h

J Bras Pneumol.2019;45(3):e20180065

Editorial

Pulmonary rehabilitation after COVID-19

Reabilitação pulmonar pós-COVID-19

André Vinícius Santana1a, Andrea Daiane Fontana1a, Fabio Pitta1a

J Bras Pneumol.2021;47(1):e20210034

Original Article

Effects of yoga breathing exercises on pulmonary function in patients with Duchenne muscular dystrophy: an exploratory analysis

Efeitos de exercícios respiratórios de ioga na função pulmonar de pacientes com distrofia muscular de Duchenne: uma análise exploratória

Marcos Rojo Rodrigues, Celso Ricardo Fernandes Carvalho, Danilo Forghieri Santaella, Geraldo Lorenzi-Filho, Suely Kazue Nagahashi Marie

J Bras Pneumol.2014;40(2):

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