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Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/860
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dc.contributor.authorLockstone J,en_US
dc.contributor.authorParry SM,en_US
dc.contributor.authorDenehy L,en_US
dc.contributor.authorRobertson IK,en_US
dc.contributor.authorStory D,en_US
dc.contributor.authorParkes S,en_US
dc.contributor.authorBoden I.en_US
dc.date2018-12-11-
dc.date.accessioned2019-06-12T00:52:26Z-
dc.date.available2019-06-12T00:52:26Z-
dc.identifier.citationPhysiotherapy. 2018 Dec 11. pii: S0031-9406(18)30651-5.en_US
dc.identifier.urihttp://hdl.handle.net/11055/860-
dc.description.abstractOBJECTIVES: To (1) determine whether short, 30-minute sessions of non-invasive ventilation (NIV) is associated with fewer postoperative pulmonary complications (PPC) following elective high-risk upper abdominal surgery and (2) measure feasibility and safety of this intervention when delivered by physiotherapists. DESIGN: Prospective, pre post cohort, observational, single-centre study. SETTING: Primary referral hospital in Australia. PARTICIPANTS: A total of 182 consecutive high-risk elective upper abdominal surgery patients consisting of 101 pre cohort participants compared to 81 post cohort participants. INTERVENTIONS: Both groups received standardised preoperative physiotherapy and early postoperative mobilisation. The post cohort group received five additional 30-minute NIV sessions in the first two postoperative days. MAIN OUTCOME MEASURE: Primary outcome measure was PPC incidence within the first seven postoperative days. Secondary outcomes included feasibility and safety of physiotherapy-led NIV. RESULTS: Incidence of PPC (7% vs 18%, adjusted relative risk 0.24; 95% CI 0.10 to 0.59, p=0.002) was less in the NIV group compared to those who received no NIV. Mean time to first NIV session was 18.6 (SD 11.0) hours with 74% of participants receiving NIV within 24-hours of surgery. There were no major adverse events. CONCLUSION: These findings suggest PPC reduction may be possible with postoperative NIV following high-risk elective upper abdominal surgery. Results should be seen as hypothesis-generating associations only considering the significant limitations to this study. Physiotherapy-led NIV was delivered safely to ICU and ward patients. However, the planned protocol was not feasible and appropriate physiotherapy staffing and/or a multidisciplinary approach may be required to provide this service successfully. TRIAL REGISTRATION: LIPPSMAck POP (Lung Infection Prevention Post Surgery - Major Abdominal - with Pre Operative Physiotherapy) ANZCTR-12613000664741 (for pre cohort group only).en_US
dc.subjectGeneral surgeryen_US
dc.subjectNon-invasive ventilationen_US
dc.subjectPostoperative careen_US
dc.subjectPostoperative complicationsen_US
dc.titlePhysiotherapist administered, non-invasive ventilation to reduce postoperative pulmonary complications in high-risk patients following elective upper abdominal surgery; a before-and-after cohort implementation study.en_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitlePhysiotherapyen_US
dc.identifier.doi10.1016/j.physio.2018.12.003en_US
dc.description.affiliatesDepartment of Physiotherapy, Launceston General Hospital, Launceston, TAS, 7250, Australia; Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, 3053, Australia.en_US
dc.description.affiliatesDepartment of Physiotherapy, The University of Melbourne, Melbourne, VIC, 3053, Australiaen_US
dc.description.affiliatesDepartment of Physiotherapy, The University of Melbourne, Melbourne, VIC, 3053, Australiaen_US
dc.description.affiliatesClifford Craig Foundation, Launceston General Hospital, Launceston, TAS, Australia; School of Health Sciences, University of Tasmania, Launceston, TAS, 7250, Australia.en_US
dc.description.affiliatesAnaesthesia Perioperative and Pain Medicine Unit, Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australiaen_US
dc.description.affiliatesIntensive Care Unit, Launceston General Hospital, Launceston, TAS, 7250, Australiaen_US
dc.description.affiliatesDepartment of Physiotherapy, Launceston General Hospital, Launceston, TAS, 7250, Australia; Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, 3053, Australiaen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/?term=Physiotherapist+administered%2C+non-invasive+ventilation+to+reduce+postoperative+pulmonary+complications+in+high-risk+patients+following+elective+upper+abdominal+surgery%3B+a+before-and-after+cohort+implementation+study.en_US
dc.type.studyortrialClinical Trialen_US
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Collections:Scholarly and Clinical
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