Comparative evaluation of ventilatory function through pre and postoperative peak expiratory flow in patients submitted to elective upper abdominal surgery

• Autor(a) principal: SCHEEREN,CAIO FERNANDO CAVANUS
• Data de Publicação: 2016
• Outros Autores: GONÇALVES,JOSÉ JÚLIO SARAIVA
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300165
• topic: Peak Expiratory Flow Rate; Surgery; Smoking; Thoracic Surgery; Elective Surgical Procedures.

ABSTRACT Objective: to evaluate the ventilatory function by Peak Expiratory Flow (PEF) in the immediate pre and postoperative periods of patients undergoing elective surgical procedures in the upper abdomen. Methods: we conducted a prospective cohort study including 47 patients admitted to the Hospital Regional de Mato Grosso do Sul from July to December 2014, who underwent elective surgeries of the upper abdomen, and submiited to spirometric evaluation and measurement of PEF immediately before and after surgery. Results: of the 47 patients, 22 (46.8%) were male and 25 (53.20%) female. The mean preoperative PEF was 412.1±91.7, and postoperative, 331.0±87.8, indicating significant differences between the two variables. Men had higher PEF values than women, both in the pre and postoperative periods. There was a reasonable inverse correlation between age and decreased PEF. Both situations showed statistical significance (p<0.001). The group of smokers had lower PEF values both before and after surgery. The group of patients with comorbidities (hypertension and/or diabetes) showed lower PEF values both pre and postoperatively (p=0.005). In both groups, surgery resulted in a significant decrease in PEF (p<0.001). The type of surgery performed and the type of anesthesia did not show significant differences. Conclusion: the variables most involved in decreased lung function were: advanced age, smoking and presence of comorbidities. However, there is no consistent evidence to suggest conducting routine spirometry in such patients.