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Mobilization Started Within 2 Hours After Abdominal Surgery Improves Peripheral and Arterial Oxygenation: A Single-Center Randomized Controlled Trial
- Source :
- Physical Therapy
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Objective The aim of this study was to investigate if mobilization out of bed, within 2 hours after abdominal surgery, improved participants’ respiratory function and whether breathing exercises had an additional positive effect. Methods Participants were 214 consecutively recruited patients who underwent elective open or robot-assisted laparoscopic gynecological, urological, or endocrinological abdominal surgery with an anesthetic duration of >2 hours. They were recruited to a randomized controlled trial. Immediately after surgery, patients were randomly assigned to 1 of 3 groups: mobilization (to sit in a chair) and standardized breathing exercises (n = 73), mobilization (to sit in a chair) only (n = 76), or control (n = 65). The interventions started within 2 hours after arrival at the postoperative recovery unit and continued for a maximum of 6 hours. The primary outcomes were differences in peripheral oxygen saturation (SpO2, as a percentage) and arterial oxygen pressure (PaO2, measured in kilopascals) between the groups. Secondary outcomes were arterial carbon dioxide pressure, spirometry, respiratory insufficiency, pneumonia, and length of stay. Results Based on intention-to-treat analysis (n = 214), patients who received mobilization and breathing exercises had significantly improved SpO2 (mean difference [MD] = 2.5%; 95% CI = 0.4 to 4.6) and PaO2 (MD = 1.40 kPa; 95% CI = 0.64 to 2.17) compared with the controls. For mobilization only, there was an increase in PaO2 (MD = 0.97 kPa; 95% CI = 0.20 to 1.74) compared with the controls. In the per-protocol analysis (n = 201), there were significant improvements in SpO2 and PaO2 for both groups receiving mobilization compared with the controls. Secondary outcome measures did not differ between groups. Conclusion Mobilization out of bed, with or without breathing exercises, within 2 hours after elective abdominal surgery improved SpO2 and PaO2. Impact The respiratory effect of mobilization (out of bed) immediately after surgery has not been thoroughly evaluated in the literature. This study shows that mobilization out of bed following elective abdominal surgery can improve SpO2 and PaO2. Lay Summary Mobilization within 2 hours after elective abdominal surgery, with or without breathing exercises, can improve patients’ respiratory function.
- Subjects :
- Male
Spirometry
Physical Therapy, Sports Therapy and Rehabilitation
030230 surgery
Single Center
Breathing Exercises
Time-to-Treatment
law.invention
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Randomized controlled trial
law
Abdomen
medicine
Humans
Respiratory function
030212 general & internal medicine
Physiotherapy
Early Ambulation
Aged
Original Research
Oxygen saturation (medicine)
Postoperative Care
Mobilization
medicine.diagnostic_test
business.industry
Oxygenation
Middle Aged
Oxygen
Respiratory Function
Anesthesia
Female
Blood Gas Analysis
AcademicSubjects/MED00110
business
Abdominal surgery
Subjects
Details
- ISSN :
- 15386724 and 00319023
- Volume :
- 101
- Database :
- OpenAIRE
- Journal :
- Physical Therapy
- Accession number :
- edsair.doi.dedup.....03f794787e3a9e5d15f6fe31ea23c20a