Evidence Based Practice Flashcards

1
Q

What evidence is there for breathing exercises in COPD?

A

Holland et al 2012
- Breathing exercises over 4-15 weeks improves functional exercise capacity in COPD patients compared to no intervention, but no consistent effects on dyspnoea or QOL

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2
Q

What evidence is there for IMT?

A

Shoemaker et al 2009
- IMT appears to improve dyspnoea, walking test & QOL in COPD patients

Hill et al 2010
- Chronic COPD IMT prescription

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3
Q

What evidence is there for pursed lipped breathing?

A

Bhatt 2012

- Acute increase in exercise capacity (6 min walk test) in stable COPD patients

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4
Q

What evidence is there for PEP?

A

Johnston & James 2013

- Written survey, found regularly employed for people with cardiorespiratory conditions

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5
Q

What evidence is there for the criteria for PPCs?

A

Scholes et al 2009

  • Outlined 5 predictors for high risk of PPC
  • Anaesthetic time, surgery type, respiratory co-morbidity, smoker, predicted VO2 max
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6
Q

What evidence is there for mobilisation for abdominal surgery patients?

A

Mackay et al 2005
- addition of DB and coughing exercises to early mobilisation does not significantly reduce incidence of clinically significant PPCs

Haines et al 2013
- Patients 3 times more likely to develop PPCs for each day they did not mobilise away from bed

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7
Q

What evidence is there for pre-op physio in cardiac surgery patients?

A

Snowden et al 2014
- Pre-op intervention (IMT, education, exercise and relaxation) reduces LOS in pts >63yo, risk of PPCs & time to extubation

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8
Q

What evidence is there for deep breathing exercises in cardiac surgery patients?

A

Brasher et al 2013

  • Addition of DB exercises does not significantly alter patient outcomes
  • No significant difference in PPCs, LOS, oxyhaemoglobin saturation & pulmonary function
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9
Q

What evidence is there for mobilisation for acutely ill patients?

A

Stiller & Phillips 2003 (lit review)

- Assess if the potential risks outweigh the benefits to establish when considering mobilisation

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10
Q

What evidence is there for shoulder exercises post thoracotomy?

A

Reeve et al 2010

  • No difference in PPCs & LOS
  • For most patients early mobilisation is enough to prevent PPCs
  • But also found exercise group had less total pain scores & better shoulder function at 1 & 3 months follow up
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