AARC Clinical Practice Guideline
نویسندگان
چکیده
We searched the MEDLINE, CINAHL, and Cochrane Library databases for articles published between January 1995 and April 2011. The update of this clinical practice guideline is the result of reviewing a total of 54 clinical trials and systematic reviews on incentive spirometry. The following recommendations are made following the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) scoring system. 1: Incentive spirometry alone is not recommended for routine use in the preoperative and postoperative setting to prevent postoperative pulmonary complications. 2: It is recommended that incentive spirometry be used with deep breathing techniques, directed coughing, early mobilization, and optimal analgesia to prevent postoperative pulmonary complications. 3: It is suggested that deep breathing exercises provide the same benefit as incentive spirometry in the preoperative and postoperative setting to prevent postoperative pulmonary complications. 4: Routine use of incentive spirometry to prevent atelectasis in patients after upper-abdominal surgery is not recommended. 5: Routine use of incentive spirometry to prevent atelectasis after coronary artery bypass graft surgery is not recommended. 6: It is suggested that a volume-oriented device be selected as an incentive spirometry device.
منابع مشابه
AARC clinical practice guideline. Capnography/capnometry during mechanical ventilation--2003 revision & update.
متن کامل
AARC (American Association for Respiratory Care) clinical practice guideline. Neonatal time-triggered, pressure-limited, time-cycled mechanical ventilation.
متن کامل
AARC Clinical Practice Guideline: selection of an oxygen delivery device for neonatal and pediatric patients--2002 revision & update.
متن کامل
Evidence-based clinical practice guidelines: where's the evidence and what do I do with it?
One of the most ambitious, and arguably most important, projects of the American Association for Respiratory Care (AARC) has been the publication of peer-reviewed clinical practice guidelines (CPGs). Since 1991, 51 CPGs have been published in RESPIRATORY CARE. These have become the backbone of respiratory therapist-directed protocols,1 and they have been reproduced in current respiratory care t...
متن کاملAARC (American Association for Respiratory Care) clinical practice guideline. Assessing response to bronchodilator therapy at point of care.
Assessing response in adults and older children* to aerosolized bronchodilator therapy at the point of care. Although subjective responses and changes in mucociliary activity are important bronchodilator therapy effects, this guideline emphasizes the airway smooth muscle response that is primarily quantified through measurement of pulmonary function. It does not address initial diagnostic or on...
متن کاملAarc Guideline: Intermittent Positive Pressure Breathing
IPPB 2.0 DESCRIPTION/DEFINITION: The first American Association for Respiratory Care (AARC) clinical practice guideline (CPG) for Intermittent Positive Pressure Breathing (IPPB) was published in 1993. Since that time there have been additional studies, systematic overviews, and a meta-analysis that specifically addresses the eff icacy of IPPB as compared to other hyperinflation and aerosol deli...
متن کامل