Why hospitals continue use incentive spirometry

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I was recently reading that new studies shows that incentive spirometry have not shown to decrease pulmonary complications after cardiac or abdominal surgeries.The studies also revealed that deep breathing and coughing is just as effective as is incentive spirometry.

Until the OP provides us with their citation for this "Study" "book" "literature" or whatever else the source might be, this thread was a waste of time and space. It gets really irritating when people post information saying 'This study" or "that study or "The literature says." We cannot critically evaluate the study design, methods, and outcomes until we know what "literature" one is talking about.

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What are you getting at? Out with it already. I cannot find one single piece of literature that states "I.S. doesn't work", and about 500 that says it is effective. This one inparticular: The AARC clinical guidelines for SMI (Do you even know what that means?) http://www.rcjournal.com/cpgs/ispircpg.html] outlines it the best.Me thinks the OP is full of it and has a hidden agenda.

I think you are full of yourself and dont even know me and thinl that I may have a hidden agenda,but you know what dont bother as I'm not interested in what you think about me.

but I will provide the name of the book that the study was mentioned in for the sake of OTHERS

Nurses' Guide to Clinical procedures by Lippinocott.

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I think you are full of yourself and dont even know me and thinl that I may have a hidden agenda,but you know what dont bother as I'm not interested in what you think about me.

but I will provide the name of the book that the study was mentioned in for the sake of OTHERS

Nurses' Guide to Clinical procedures by Lippinocott.

>Hey, I just call 'em as I see 'em. Let me get this straight, you make an incredibly vague post questioning a procedure citing something you read somewhere. And then when another poster suggests the hospital may bill for it because its provided by a different profession than yours, you agree. And then after four pages of posters asking you to cite what you "read somewhere" you post the title of a nursing textbook. Perhaps for the benefit of the "OTHERS" you can tell us the chapter or even the page you're talking about. FTR: According to Chapter 39, pg. 907 under the ASSSESMENT OF OUTCOME heading in 'Egans Fundamentals of Respiratory Care' 9th edition, the benefits of I.S. include - improvement in signs of atelectasis, decreased RR, resolution of fever, return to normal pulse rate, improved breath sounds, improvement in chest radiograph, increased PaO2 & decreased PaCO2 (be sure not to confuse with PAO2 & PACO2), improved vital capaciy and peak flows, return of FRC to preoperative values (unless a pnuemonectomy was performed) and improved inspiratory muscle function. All this with a fairly inexspensive, non invasive, portable, easy to operate piece of equipment.

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Actually, there have been studies comparing IS to other more "invasive" therapies such as IPPB, CPAP, and BiPAP. Specific to your question, Matte, et al. compared the effects of IS, BiPAP, and CPAP in CABG pts. They found that the BiPAP and CPAP groups began to see improvement in forced expiratory volume, PaO2, and vital capacity before the IS group. Granted this study only followed pts two days post op, so that doesn't mean there was a significant difference in overall outcome or hospitalization time.

(Matte, P., Jacquet, L., Van Dyck, M., & Goene, M. (2002) Effects of conventional physiotherapy, continuous positive airway pressure and non-invasive ventilatory support wtih bilevel positive airway pressure after coronary artery bypass grafting. Acta Anaesthesiol Scand, 44(1), 75-81.)

>Not to mention the costs ($) associated with positive pressure therapy. I would imagine the longer term hidden costs would be notable as well, positive pressure used for lung recruitment can be dangerous. For sure, its bound to be appropiate for certain Pt populations however. As it stands, NIPPV is for Pts with acute respiratory failure that still have spontaneous effort and a patent AW. Certain NIPP ventilators may be used on intubated Pts as well, The Vision BiPAP by Respironics for example.

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