preoperative physical therapy for pneumonectomy

[etvin]

i want to know why the patient advised for this surgery?
-breathing exercises
-huffing
-positioning
-moving from bed to chair -- ( this is useful to the patient to move from bed to chair after surgery)

these exercises are useful before surgery

[adrenalinejunkie]

Hi,

With regards to preoperative physiotherapy for pnumonectomy, there are number of important things that you can do to help the patient. I'm probably reiterating what the previous post said..but I thought some extra detail might make things clearer for you (information from Pryor & Prasad 2006):
Preoperative assessment is the first thing- ask about smoking history; encourage smoking cessation (evidence shows that this can really only decrease PPC incidence once smoking is stopped 8/52 before surgery), PPC risk factor assessment.
Preoperative instructions (eg. for breathing exercises, positioning, movement from bed to chair, huffing, adequate wound support for huffing, postural advice) should be practised before surgery- so that the patient doesn't have to try and learn this exercises once they have post-op pain(due to the surgical trauma of a thoracotomy).
High- risk patients who might require NIV post-op should be be familiarized with the appearance and use of the NIV device & have the correct mask fitting. This aids in its application if required postoperatively.
It is also crucial to tell the patient the importance of not lying on the normal(ie non-operated) side (i.e. NEVER lying with the pneumonectomy side uppermost)..as the bronchial stump may become bathed in fluid which could potentially aspirate into the good/unaffected lung). This is actually a contrainidication(but I'm sure you know this already)

Some doctors even advise patients not to lie on their side at all.
Huffing instead of coughing is also preferred as it generates less intrathoracic pressure & is thus less painful.
Not sure what else might be needed for preop physio(that is cardio specific!). Preop patient education is vital as well- I'm sure the patient would feel more comfortable if they were taught everything before hand (and it is re-emphasized later) eg. early mobilisation, importance of adequate pain relief (so that physiotherapy can be maximised), DVT prevention (do foot & ankle {F&A} exercises).

Well I hoped that helps! COmpliments go to Pryor & Prasad's Physiotherapy for Respiratory and Cardiac Problems

[flowers2007]

Hi,

With regards to preoperative physiotherapy for pnumonectomy, there are number of important things that you can do to help the patient. I'm probably reiterating what the previous post said..but I thought some extra detail might make things clearer for you (information from Pryor & Prasad 2006):
Preoperative assessment is the first thing- ask about smoking history; encourage smoking cessation (evidence shows that this can really only decrease PPC incidence once smoking is stopped 8/52 before surgery), PPC risk factor assessment.
Preoperative instructions (eg. for breathing exercises, positioning, movement from bed to chair, huffing, adequate wound support for huffing, postural advice) should be practised before surgery- so that the patient doesn't have to try and learn this exercises once they have post-op pain(due to the surgical trauma of a thoracotomy).
High- risk patients who might require NIV post-op should be be familiarized with the appearance and use of the NIV device & have the correct mask fitting. This aids in its application if required postoperatively.
It is also crucial to tell the patient the importance of not lying on the normal(ie non-operated) side (i.e. NEVER lying with the pneumonectomy side uppermost)..as the bronchial stump may become bathed in fluid which could potentially aspirate into the good/unaffected lung). This is actually a contrainidication(but I'm sure you know this already)

Some doctors even advise patients not to lie on their side at all.
Huffing instead of coughing is also preferred as it generates less intrathoracic pressure & is thus less painful.
Not sure what else might be needed for preop physio(that is cardio specific!). Preop patient education is vital as well- I'm sure the patient would feel more comfortable if they were taught everything before hand (and it is re-emphasized later) eg. early mobilisation, importance of adequate pain relief (so that physiotherapy can be maximised), DVT prevention (do foot & ankle {F&A} exercises).

Well I hoped that helps! COmpliments go to Pryor & Prasad's Physiotherapy for Respiratory and Cardiac Problems

thank you very much for this information
but i want (details)