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Chest, Vol 86, 891-895, Copyright © 1984 by American College of Chest Physicians

ARTICLES

Postoperative chest percussion with postural drainage in obese patients following gastric stapling

KG Torrington, DE Sorenson and LM Sherwood

Vigorous respiratory therapy can prevent the development of postoperative pulmonary complications which occur with increased frequency after upper abdominal surgery. Obesity poses an additional risk factor. To study the effects of postoperative chest percussion with postural drainage (CPT), 53 consecutive patients undergoing Roux- en-Y gastric stapling procedures for treatment of morbid obesity were randomized to two groups. Both received identical postoperative respiratory care, except the study group received additional CPT. It was concluded that the addition of CPT to patients without prior chronic lung disease undergoing upper abdominal surgery caused patient discomfort, increased hospital cost, and failed to affect the incidence of postoperative pulmonary complications.


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 Am. J. Respir. Crit. Care Med.Home page
A. A. El-Solh
Clinical Approach to the Critically Ill, Morbidly Obese Patient
Am. J. Respir. Crit. Care Med., March 1, 2004; 169(5): 557 - 561.
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