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Prevention and Control of Infections in Hospitals pp 313–321Cite as

Chest Physiotherapy and Mobilization: Postoperatively

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Abstract

Lung physiotherapy and early mobilization prevent the development of respiratory infections in surgical patients. The lungs, bronchi and trachea are sterile, semi-critical areas. All technical items introduced by the patient’s vocal cord like intubation are a risk to the patient. Sterile treatment of respiratory tract from the trachea and down is central in all procedures. For best effect, protective measures should be started preoperatively, particularly at risk of complications due to loss of lung function and chronic obstructive pulmonary disease (COPD) and by surgery of the abdomen or thorax. Breathing exercises from the deep airways are important before and after surgery and especially for abdominal/thorax operations. These procedures are followed up by a physiotherapist. Fast awakening is essential for rapid mobility and cough reflex. Adequate pain management supports the ability to cough and rapid mobilization. The patient should be placed at least 30° in the supine position to avoid complications. Avoid intubation; if possible, use non-invasive positive pressure ventilation—CPAP.

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Authors and Affiliations

  1. Department of Hospital Infections, Oslo University Hospital, Oslo, Norway

    Bjørg Marit Andersen

  2. Faculty of Health and Social Science, University of South-Eastern Norway, Oslo, Norway

    Bjørg Marit Andersen

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  1. Bjørg Marit Andersen
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Andersen, B.M. (2019). Chest Physiotherapy and Mobilization: Postoperatively. In: Prevention and Control of Infections in Hospitals. Springer, Cham. https://doi.org/10.1007/978-3-319-99921-0_27

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  • DOI: https://doi.org/10.1007/978-3-319-99921-0_27

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