Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE--To study the changes in bilateral respiratory motion and pulmonary function following sternotomy and the relationships between the changes in respiratory movements, spirometry, r...
Published in: | Scandinavian Cardiovascular Journal |
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2007
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Online Access: | http://hdl.handle.net/2336/11831 https://doi.org/10.1080/14017430310016658 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/11831 2023-05-15T16:51:12+02:00 Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy Ragnarsdottir, Maria Kristjansdottir, Asdis Ingvarsdottir, Ingveldur Hannesson, Petur Torfason, Bjarni Cahalin, Lawrence 2007-05-15 YES http://hdl.handle.net/2336/11831 https://doi.org/10.1080/14017430310016658 en eng Taylor & Francis http://dx.doi.org/10.1080/14017430310016658 Scand. Cardiovasc. J. 2004, 38(1):46-52 1401-7431 15204247 doi:10.1080/14017430310016658 http://hdl.handle.net/2336/11831 Scandinavian cardiovascular journal : SCJ Abdomen Aged 80 and over Cardiac Surgical Procedures Forced Expiratory Volume Heart Diseases Intraoperative Period Lung Iceland Postoperative Period Respiratory Mechanics Spirometry Statistics Sternum Thorax Time Factors Treatment Outcome Vital Capacity Article 2007 ftlandspitaliuni https://doi.org/10.1080/14017430310016658 2022-05-29T08:20:57Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE--To study the changes in bilateral respiratory motion and pulmonary function following sternotomy and the relationships between the changes in respiratory movements, spirometry, radiographic analyses, and several intra-operative surgical characteristics. DESIGN--Respiratory motion during deep breathing and lung volumes were measured in 20 patients (mean age 65 years, SD 16) before and after median sternotomy. Chest x-rays were analyzed pre- and postoperatively and a variety of perioperative variables were measured. RESULTS--Average abdominal motion decreased to 57% of preoperative values bilaterally 1 week postoperatively, the average lower thoracic motion decreased to 72%, and the average upper thoracic motion decreased to 87%, whereas the right upper thoracic motion increased 3% compared with preoperative values. Lung volumes decreased to around 60% of preoperative values (p<0.05). Significant correlations were found between the decrease in pulmonary function and the mean respiratory movements. Abnormal chest radiographs were found in all patients. CONCLUSION--The breathing pattern before sternotomy is predominantly abdominal but moves to a thoracic and upper thoracic pattern postoperatively and is associated with reduced pulmonary function. Therapeutic interventions aimed at correcting the less effective upper thoracic breathing pattern should likely be implemented. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Scandinavian Cardiovascular Journal 38 1 46 52 |
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Open Polar |
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Hirsla - Landspítali University Hospital research archive |
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ftlandspitaliuni |
language |
English |
topic |
Abdomen Aged 80 and over Cardiac Surgical Procedures Forced Expiratory Volume Heart Diseases Intraoperative Period Lung Iceland Postoperative Period Respiratory Mechanics Spirometry Statistics Sternum Thorax Time Factors Treatment Outcome Vital Capacity |
spellingShingle |
Abdomen Aged 80 and over Cardiac Surgical Procedures Forced Expiratory Volume Heart Diseases Intraoperative Period Lung Iceland Postoperative Period Respiratory Mechanics Spirometry Statistics Sternum Thorax Time Factors Treatment Outcome Vital Capacity Ragnarsdottir, Maria Kristjansdottir, Asdis Ingvarsdottir, Ingveldur Hannesson, Petur Torfason, Bjarni Cahalin, Lawrence Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
topic_facet |
Abdomen Aged 80 and over Cardiac Surgical Procedures Forced Expiratory Volume Heart Diseases Intraoperative Period Lung Iceland Postoperative Period Respiratory Mechanics Spirometry Statistics Sternum Thorax Time Factors Treatment Outcome Vital Capacity |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field OBJECTIVE--To study the changes in bilateral respiratory motion and pulmonary function following sternotomy and the relationships between the changes in respiratory movements, spirometry, radiographic analyses, and several intra-operative surgical characteristics. DESIGN--Respiratory motion during deep breathing and lung volumes were measured in 20 patients (mean age 65 years, SD 16) before and after median sternotomy. Chest x-rays were analyzed pre- and postoperatively and a variety of perioperative variables were measured. RESULTS--Average abdominal motion decreased to 57% of preoperative values bilaterally 1 week postoperatively, the average lower thoracic motion decreased to 72%, and the average upper thoracic motion decreased to 87%, whereas the right upper thoracic motion increased 3% compared with preoperative values. Lung volumes decreased to around 60% of preoperative values (p<0.05). Significant correlations were found between the decrease in pulmonary function and the mean respiratory movements. Abnormal chest radiographs were found in all patients. CONCLUSION--The breathing pattern before sternotomy is predominantly abdominal but moves to a thoracic and upper thoracic pattern postoperatively and is associated with reduced pulmonary function. Therapeutic interventions aimed at correcting the less effective upper thoracic breathing pattern should likely be implemented. |
format |
Article in Journal/Newspaper |
author |
Ragnarsdottir, Maria Kristjansdottir, Asdis Ingvarsdottir, Ingveldur Hannesson, Petur Torfason, Bjarni Cahalin, Lawrence |
author_facet |
Ragnarsdottir, Maria Kristjansdottir, Asdis Ingvarsdottir, Ingveldur Hannesson, Petur Torfason, Bjarni Cahalin, Lawrence |
author_sort |
Ragnarsdottir, Maria |
title |
Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
title_short |
Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
title_full |
Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
title_fullStr |
Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
title_full_unstemmed |
Short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
title_sort |
short-term changes in pulmonary function and respiratory movements after cardiac surgery via median sternotomy |
publisher |
Taylor & Francis |
publishDate |
2007 |
url |
http://hdl.handle.net/2336/11831 https://doi.org/10.1080/14017430310016658 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1080/14017430310016658 Scand. Cardiovasc. J. 2004, 38(1):46-52 1401-7431 15204247 doi:10.1080/14017430310016658 http://hdl.handle.net/2336/11831 Scandinavian cardiovascular journal : SCJ |
op_doi |
https://doi.org/10.1080/14017430310016658 |
container_title |
Scandinavian Cardiovascular Journal |
container_volume |
38 |
container_issue |
1 |
container_start_page |
46 |
op_container_end_page |
52 |
_version_ |
1766041307732508672 |