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Chest physiotherapy during anesthesia for children with cystic fibrosis: Effects on respiratory function
Author(s) -
Tannenbaum E.,
Prasad S.A.,
Dinwiddie R.,
Main Eleanor
Publication year - 2007
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.20710
Subject(s) - medicine , chest physiotherapy , anesthesia , physical therapy , respiratory system , intubation , cystic fibrosis , postural drainage , tidal volume , respiratory physiology , airway
Abstract Background Physiotherapists sometimes use elective surgical procedures for children with cystic fibrosis as an opportunity to perform physiotherapy treatments during anesthesia. These treatments theoretically facilitate direct endotracheal airway clearance and compensate for any post‐operative respiratory deterioration related to the anaesthetic and surgery. Materials, patients, and methods Children were randomized either to receive physiotherapy or not following anesthesia and intubation. Respiratory mechanics (C rs and R rs ), tidal volume, and peak inspiratory pressure (PIP) were measured immediately before and after physiotherapy. FEV 1 was measured before and after surgery and post‐operative physiotherapy requirements were recorded. Results Eighteen patients, mean age 12 years (range 2.8–15 years) were recruited, with nine in each group. Both groups showed a non‐significant decline in FEV 1 the day after surgery compared with pre‐operative values (−5.8%: physiotherapy and −7.1%: control). Both PIP and R rs increased significantly following physiotherapy (within‐ and between‐groups, P < 0.05). In addition, there was a significant within‐group reduction in C rs after physiotherapy which approached significance between‐groups ( P = 0.07). There were no significant within‐ or between‐group differences in tidal volume following treatment in either group. Conclusion The unanticipated decline in respiratory function immediately following physiotherapy was short‐lived and not discernible in longer term outcomes measured by FEV 1 or physiotherapy requirements post‐operatively. If respiratory physiotherapy under anesthesia is considered necessary and the benefits of removing secretions are deemed to outweigh the short‐term risks, it may be necessary for the anaesthetist to consider modifying ventilatory support to counteract any short‐term negative effects of the treatment. Pediatr Pulmonol. 2007; 42:1152–1158. © 2007 Wiley‐Liss, Inc.