Turkish Journal of Physical Medicine and Rehabilitation 2006 , Vol 52 , Num 3

Preoperatif and Postoperative Pulmonary Physiotherapy

Selda Sarıkaya 1
1 Bülent Ecevit Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Zonguldak, Türkiye

Pulmonary complications such as atelectasis and bronchopulmonary infections after surgery are important causes of mortality and morbidity. Chest physiotherapy techniques have been used to prevent and to treat postoperative pulmonary complications. Clearance of pulmonary secretions, chest expansion techniques and mobilization activities constitute preoperative and postoperative chest physiotherapy. The effectiveness of different therapy techniques were found similar in the majority of studies. Many studies have demonstrated the effectiveness of chest physiotherapy in high risk patients. Therefore, preoperative evaluation, information and training of these patients may be more beneficial to prevent postoperative pulmonary complications. Most studies in this area were of inadequate design and making it difficult to discuss the results with confidence. Randomized, controlled further studies should be taken to justify the effect of chest physiotherapy after surgery.  

Keywords : Surgery, chest physiotherapy, postoperative pulmonary complications