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Objective: To compare the effects of the EPAP and the incentive spirometry flow-oriented in the pulmonary function after bariatric surgery.
Method: Twenty-eight women, non-smokers, with no lung disease and BMI of 35-49,99 kg/m2, undergoing bariatric surgery by laparoscopy, were studied. Before surgery the patients were divided in two groups: Spirometer Group (SG) (n=13) and EPAP Group (EG) (n=15). Pulmonary function was evaluated by spirometry, thoracoabdominal (cirtometry) and diaphragmatic motion, on the preoperative and on the second postoperative day. Physiotherapy started on the day of surgery, each modality (incentive spirometry or EPAP) performed lasting 15 minutes. The deambulation and active exercises of upper and lower limbs were standardized for groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| I - Spirometer | Active Comparator |
| |
| II - Kit Epap® | Active Comparator | Device with Spring load by mask,produced by Brazil (critical med) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Incentive Spirometry - RESPIRON | Device | Device that stimulates the deep breathing, flow-oriented |
|
| Measure | Description | Time Frame |
|---|---|---|
| spirometry, thoracoabdominal (cirtometry) and diaphragmatic motion | preoperative and second postoperative day |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital stay and postoperative pulmonary complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meridional Hospital | Cariacica | Espírito Santo | 29101-000 | Brazil |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Kit Epap®: | Device | Device that providing constant positive pressure during expiration, given by spring load (cmH2O), using a face mask as an interface |
|
|
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |