Effects of postoperative three-balls respiratory exercise on respiratory function tests in smoking patients who underwent extremity surgery under generel anesthesia.

Authors : Muzaffer ŞENVELİ, Alkin ÇOLAK, Makbule Elif YILMAZ, Sevtap HEKİMOGLU SAHİN, Fatma Nesrin TURAN

Pages : 25-31

Doi:10.58961/hmj.1229707

View : 18 | Download : 10

Publication Date : 2023-04-27

Article Type : Research Paper

Abstract :Aim:Incentive spirometry is used to reduce pulmonary complications after surgical interventions under general anesthesia. In this study, we aimed to investigate the effect of postoperative incentive spirometry on pulmonary function tests in patients who smoke and undergo extremity surgery under general anesthesia. Study design: Eighty patients with ASA I-II physiological score, aged 18-61 years, who underwent extremity operation in a 3rd level hospital were included in the study. After the patients were divided into two groups as 40 patients in each group, smokers of 10-20 cigarettes per day for at least 5 years and non-smokers and the groups were once more randomized according to whether they would use incentive spirometry insert ignore into journalissuearticles values(three balls of breathing exercise); or not. Group K insert ignore into journalissuearticles values(n=20);:Non-smoker and not using incentivespirometry, Group T insert ignore into journalissuearticles values(n=20);: Non-smoker and using incentivespirometry, Group S insert ignore into journalissuearticles values(n=20);: Smoker of 10-20 cigarettes per day for at least 5 years andnot using incentive spirometry, Group ST insert ignore into journalissuearticles values(n=20);: Smokers of 10-20 cigarettes per day for at least 5 years and using incentive spirometry. Results:The demographic data similar between the groups. When the groups were compared in terms of preoperative and postoperative FVC and FEV1 values, the postoperative FVC values in Group K and Group S were found to be significantly lower than the preoperative values insert ignore into journalissuearticles values(p=0.001, p=0.002, respectively);. Postoperative PEF values were significantly lower than preoperative values insert ignore into journalissuearticles values(p=0.024, p=0.024, p=0.001, respectively);. When compared within groups, postoperative VC values in Group K and Group S were found to be significantly lower than preoperative values insert ignore into journalissuearticles values(p=0.037, p=0.012, respectively);. When the groups were compared statistically in terms of preoperative and postoperative FEV1/FVC values, no significant difference was found insert ignore into journalissuearticles values(p>0.05);. Conclusion:It was found that postoperative worsening of respiratory function test values in smokers who received general anesthesia has improved with the use of incentive spirometry. For this reason, it is assumed that the use of incentivespirometry in the postoperative period in extremity operations performed under general anesthesia will be helpful in preventing postoperative respiratory complications.
Keywords : Genel anestezi, sigara, solunum fonksiyon testleri, insentifspirometri