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Change of position from a supine to a sitting position increases pulmonary function early after cardiac surgery
Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Physiotherapy,Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-8363-1662
Department of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Faculty of Medicine and Health, Respiratory and Critical Care Group (rcare), Aalborg University, Aalborg, Denmark.
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2020 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, no 6, p. 313-317Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to describe changes in pulmonary function from the supine to the sitting position following cardiac surgery.

Methods: In a descriptive before-after design, we used the Beacon Caresystem for measurement of alveolar ventilation (V-A). The Spiropalm 6MWT was used to measure tidal volume (Vt), inspiratory capacity (IC) and peripheral oxygen saturation (SpO(2)). Assessments were performed 2-3 days post-operatively with patients in the supine position and again with patients sitting in a chair.

Results: Fifteen patients were included. Compared to the supine position, sitting in a chair significantly improved V-A by 20% (p<.000); Vt by 25% (p=.015); IC by 21% (p=.036) and SpO(2) by 0.9% (p=.018).

Conclusion: Lung function including alveolar ventilation was improved in the sitting compared to the supine position and was accompanied by improved oxygenation after uncomplicated, elective cardiac surgery. Further research is warranted to describe the impact of changes in positions in patients who do not follow a standardised clinical pathway.

Place, publisher, year, edition, pages
Taylor & Francis , 2020. Vol. 22, no 6, p. 313-317
Keywords [en]
Pulmonary function, cardiac surgery, early mobilisation, posture, alveolar ventilation, physiotherapy
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-88677DOI: 10.1080/21679169.2019.1617778ISI: 000598418600002Scopus ID: 2-s2.0-85066982389OAI: oai:DiVA.org:oru-88677DiVA, id: diva2:1520159
Note

Funding Agencies:

Aalborg University Hospital  

Aalborg University 

Available from: 2021-01-20 Created: 2021-01-20 Last updated: 2021-01-20Bibliographically approved

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Westerdahl, Elisabeth

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