Research Article
Volume 10 Issue 5 - 2021
Preoperatory Intensive Pulmonary Rehabilitation: Positive Preliminary Results at CHU-JRA Antananarivo
Raharinantenaina HA1*, Razafimanjato NNM2, Raherinandrasana AH3, Tiaray H M3, Rakotovao HJL4 and Solofomalala GD5
1Rehabilitation Service CHU-JRA, Antananarivo, Madagascar
2Thoracic surgery service CHU-JRA, Antananarivo, Madagascar
3University of Public Health and Care Analakely, Antananarivo, Madagascar
4De Pneumology Service CHU-JRB, Antananarivo, Madagascar
5General Surgery Service CHU-Anosiala, Antananarivo, Madagascar
*Corresponding Author: Raharinantenaina HA, Rehabilitation Service CHU-JRA, Antananarivo, Madagascar.
Received: March 24, 2021; Published: April 26, 2021




Abstract

Aim and Introduction: The goal of preoperative pulmonary rehabilitation of thoracic surgery is to optimize patients operability by improving respiratory function. Sometimes this program takes a long time. The objective of our study is to evaluate the effect of intensive preoperative pulmonary rehabilitation in thoracic surgery by monitoring the parameters of lung function and exercise capacity of the patient.

Method: This is an analytical study of patients scheduled for thoracic surgery who continued daily ten days rehabilitation sessions at the CHU-JRA Rehabilitation center during the period from 01 September 2019 to 01 July 2020. Patients scheduled for emergency thoracic surgery, lost of sight during rehabilitation and those who did not perform a control EFR are not included in our study.

Results: During this period, 21 patients were collected with an average age of 47.7 years and predominantly male. The 33.3% had a history of smoking but were all weaned before starting treatment. After the pulmonary rehabilitation program there was a clear improvement in functional parameters but are not statistically significant: FEV1 (before 1.70 +/- 0.62 after 1.73 +/- 0.68) FVC (2.15 +/- 0.73 vs 2.18 +/- 0.87) PED (4.41 +/- 2.007 vs 4.63 +/- 2.19) and Tiffeneau report (71.72 +/- 8.94 vs 71.48 +/- 9,75). In addition, a considerable improvement in exercise capacity by the six minutes walking test (318.09 +/- 99.37m before and 399.52 +/- 133, 20m) was objectified after completion of intensive rehabilitation.

Conclusion: Preoperatory intensive pulmonary rehabilitation has a positive effect on the pulmonary function and exercise capacity of patients and this can solve the waiting time for surgery.

Keywords: Intensive; Pulmonary Rehabilitation; Preoperatory; Thoracic Surgery

References

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Citation: Raharinantenaina HA., et al “Preoperatory Intensive Pulmonary Rehabilitation: Positive Preliminary Results at CHU-JRA Antananarivo”. EC Pulmonology and Respiratory Medicine 10.5 (2021): 38-44.

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