engleski

IMPACT ASSESSMENT OF RESPIRATORY AND POSTURAL DIAPHRAGM MOBILITY IN PREVENTION OF PNEUMONIA

Total laryngectomy (TL) leads to a separation of the upper and lower airways, which result with absent warming, humidifying and filtering air.This have unfavourable effects on the lower airways, lung capacity and leads to the development of pneumonia (PM). The aim of this study was impact assessment of respiratory and postural diaphragm mobility in prevention of PM in the postoperative period in patients who have had TL. This study used database of the patients who have had TL surgery at University Hospital Center Zagreb, Department of head and neck tumors. A sample of 17 patients was observed: respiratory and postural diaphragm mobility ; effect of respiratory exercises (RE) on peripheral oxygen saturation (POS), breathing frequency (BF), blood pressure (BP) and cardio pulse (cp) before and after respiratory exercises ; inflammatory parameters (WBC , CRP, body temperature) ; changes in the lungs (RTG, auscultation). Statistical analysis was made by ANOVA. There is a statistically significant difference in decrease of WBC 5th and 10th postoperative day (p=0, 02 ; p=0, 000005) and BF (p=0, 0034), and increase of POS (p=0, 00018) after respiratory exercises. Two (11.46%) patients developed PM as a complication of Pseudomonas aeruginosa infection. Respiratory exercises had a positive influence on respiratory and postural diaphragm mobility, as evidenced by POS and BF results. The incidence of PM (11.46%) is consequence of hospital infections.

postural diaphragm mobility , total laryngectomy, pneumonia

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