Evaluation of breathing exercise in hormonal and immunological responses in patients undergoing abdominal surgery

Evaluation of breathing exercise in hormonal and immunological responses in patients undergoing abdominal surgery

Author Carneiro, Élida Mara Google Scholar
Ramos, Marisa de Carvalho Google Scholar
Terra, Guilherme Azevedo Google Scholar
Rodrigues Júnior, Virmondes Google Scholar
Matos, Delcio Autor UNIFESP Google Scholar
Crema, Eduardo Google Scholar
Institution UFTM Department of Surgery
UFTM Department of Immunology
Universidade Federal de São Paulo (UNIFESP)
Abstract PURPOSE: To evaluate the effects of sustained deep inspiration in the prevention of postoperative pulmonary complications, the hormonal and immunological responses in patients submitted to abdominal surgery. METHODS: This randomized clinical trial study included 75 patients submitted to abdominal surgery, of which 36 were randomly allocated in the experimental group and underwent sustained deep inspiration during five seconds, in three sets of ten repetitions per day. The others 39 patients were allocated in the control group and were not submitted to any breathing exercise. The following parameters were measured preoperatively, 24h and 48h postoperatively: chest x-ray, serum ACTH, cortisol, IL-4, IL-10, TNF-α, forced expiratory volume in first second (FEV1), forced expiratory flow 25-75% (FEF 25-75), forced vital capacity (FVC), paO2 and paCO2. RESULTS: Mean serum cortisol in patients of the experimental and control groups before surgery were 12.8 mcg/dl (4.6-50) and 10.48 mcg/dl (1-29.1), respectively (p=0.414). The experimental group had significantly increase in serum cortisol levels, 23.6 mcg/dl (9.3-45.8), especially 24h postoperatively (p=0.049). CONCLUSION: Sustained deep inspiration in patients submitted to abdominal surgery determined important changes in serum cortisol, however, without significantly influence the postoperative pulmonary complications and the endocrine and immune responses
Keywords Physical Therapy Modalities
Surgery
Hormones
Cytokines
Language English
Date 2013-05-01
Published in Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 5, p. 385-390, 2013.
ISSN 0102-8650 (Sherpa/Romeo, impact factor)
Publisher Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Extent 385-390
Origin http://dx.doi.org/10.1590/S0102-86502013000500011
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000319994200011
SciELO ID S0102-86502013000500011 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/7735

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