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 Bibliografske baze podataka

Pregled bibliografske jedinice broj: 403586

Časopis

Autori: Mimica, Željko; Pogorelić, Zenon; Sršen, Darko; Perko, Zdravko; Stipić, Radoslav; Dujmović, Domagoj; Tocilj, Jadranka; Ujević, Darko
Naslov: The Effect of Analgesics and Physical Therapy on Respiratory Function after Open and Laparoscopic Cholecystectomy
( The Effect of Analgesics and Physical Therapy on Respiratory Function after Open and Laparoscopic Cholecystectomy )
Izvornik: Collegium antropologicum (0350-6134) 32 (2008), 1; 193-199
Vrsta rada: članak
Ključne riječi: cholecystectomy; laparoscopic cholecystectomy; postoperative respiratory insufficiency; postoperative analgesia; physical therapy
( cholecystectomy; laparoscopic cholecystectomy; postoperative respiratory insufficiency; postoperative analgesia; physical therapy )
Sažetak:
In this study we present prospective clinical trial included 100 patients. One half of the patients underwent open cholecystectomy, whereas laparoscopic cholecystectomy was performed in the other half. Spirometric parameters, arterial blood gases, acid-base balance, were determined preoperatively, and then at 6 h, 24 h, 72 h and 144 h postoperatively. The impact of physical therapy on the respiratory parameter patterns, VAS-pain score and use of tramadol were studied after cholecystectomy. Significantly lower VAS-pain score and less tramadol use, higher values and faster recovery of ventilation parameters and PaO2 were recorded after laparoscopic cholecystectomy than after open cholecystectomy (p=0.001 for both). Physical therapy resulted in a significant improvement in the values of respiratory parameters in the open cholecystectomy group within a short time (30 min) after therapy was performed. Physical therapy failed to produce any improvement of respiratory parameters in laparoscopic cholecystectomy, whereas in open cholecystectomy group who had a favorable although transient effect, strictly limited to the short time from its application. (p=0.005). The patients operated on by open cholecystectomy had statistically significantly more pronounced disturbances including hypoxia, hypocapnia and hyperventilation when compared to the group submitted to laparoscopic cholecystectomy. It is recommended that physical therapy be more frequently performed during the postoperative period in patients submitted to open cholecystectomy.
Projekt / tema: 117-1171879-1887
Izvorni jezik: eng
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Social Science Citation Index (SSCI) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Tekstilna tehnologija
URL cjelovitog teksta:
Google Scholar: The Effect of Analgesics and Physical Therapy on Respiratory Function after Open and Laparoscopic Cholecystectomy
Upisao u CROSBI: rhrzenj@ttf.hr (rhrzenj@ttf.hr), 5. Lip. 2009. u 12:01 sati



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