Analysis of pulmonary function and comparison of time to early mobilization in patients undergoing laparoscopic bariatric surgery: a quasi-experimental study
ABSTRACT Early mobilization applied after bariatric surgery aims to reduce postoperative complications. Notably, there is no consensus on the appropriate time to start it. This study aimed to analyze the recovery of lung function and length of stay in patients undergoing bariatric surgery at differe...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universidade de São Paulo
2025-08-01
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| Series: | Fisioterapia e Pesquisa |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502025000100222&lng=en&tlng=en |
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| Summary: | ABSTRACT Early mobilization applied after bariatric surgery aims to reduce postoperative complications. Notably, there is no consensus on the appropriate time to start it. This study aimed to analyze the recovery of lung function and length of stay in patients undergoing bariatric surgery at different mobilization times. Quasi-experimental, interventional study with 167 patients divided into three groups: the first 55 patients began early mobilization 6 hours after surgery (G6); other 55 patients started after 4 hours (G4) and the last 57 patients started after 2 hours (G2). Spirometry was performed preoperatively and before mobilization, the measurements obtained were forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), maximum voluntary ventilation (MVV) and forced expiratory flow by 25-75% (FEF25-75%). There was a prevalence of females (82.04%), hospitalization time was shorter in G2 (p<0.050) and vital signs remained at physiological values. There was a significant reduction in FEV1, FVC, MVV, FEF25-75% and PEF values in the immediately after surgery, followed by a gradual increase (p≤0.05) as the days progressed. This study identified that the physiotherapeutic protocol initiated 2, 4 or 6 hours after surgery was effective regarding hemodynamic stability, reduction of hospitalization time and recovery of lung function over time in patients undergoing bariatric surgery. However, no difference was observed regarding lung function in relation to early mobilization groups. |
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| ISSN: | 2316-9117 |