viernes, 13 de abril de 2012

National Guideline Clearinghouse | Incentive spirometry: 2011. || American Association for Respiratory Care

full-text:
National Guideline Clearinghouse | Incentive spirometry: 2011.



Guideline Title
Incentive spirometry: 2011.
 
 
Bibliographic Source(s)
Restrepo RD, Wettstein R, Wittnebel L, Tracy M. AARC clinical practice guideline: incentive spirometry: 2011. Respir Care 2011 Oct;56(10):1600-4. [54 references] PubMed External Web Site Policy
 
 
Guideline Status
This is the current release of the guideline.


Respir Care. 2011 Oct;56(10):1600-4.

Incentive spirometry: 2011.

Source

Department of Respiratory Care, The University of Texas Health Sciences Center at San Antonio, San Antonio, Texas 78229, USA. restrepor@uthscsa.edu

Abstract

We searched the MEDLINE, CINAHL, and Cochrane Library databases for articles published between January 1995 and April 2011. The update of this clinical practice guideline is the result of reviewing a total of 54 clinical trials and systematic reviews on incentive spirometry. The following recommendations are made following the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) scoring system. 1: Incentive spirometry alone is not recommended for routine use in the preoperative and postoperative setting to prevent postoperative pulmonary complications. 2: It is recommended that incentive spirometry be used with deep breathing techniques, directed coughing, early mobilization, and optimal analgesia to prevent postoperative pulmonary complications. 3: It is suggested that deep breathing exercises provide the same benefit as incentive spirometry in the preoperative and postoperative setting to prevent postoperative pulmonary complications. 4: Routine use of incentive spirometry to prevent atelectasis in patients after upper-abdominal surgery is not recommended. 5: Routine use of incentive spirometry to prevent atelectasis after coronary artery bypass graft surgery is not recommended. 6: It is suggested that a volume-oriented device be selected as an incentive spirometry device.

PMID:
22008401
[PubMed - indexed for MEDLINE]
Incentive spirometry: 2011. [Respir Care. 2011] - PubMed - NCBI

No hay comentarios:

Publicar un comentario