Effects of mobilization within the first 4 h following anatomical lung resection with thoracotomy

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dc.authoridEryigit Unaldi, Hatice/0000-0002-8895-695X
dc.contributor.authorUnaldi, Hatice Eryigit
dc.date.accessioned2024-05-19T14:38:59Z
dc.date.available2024-05-19T14:38:59Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractThoracic incisions are very painful and complicated incisions. Many analgesic drugs including opioids are used to relieve pain in patients. We hypothesized that early mobilization and patient-centered strategy after lung resection reduce the incidence of perioperative complications and postoperative pain. We conducted a retrospective study on patients who underwent lung resection via thoracotomy and were mobilized in the first 4 h postoperatively. Mobilization was defined as standing and walking at least 100 m from the bed. If orthostatic hypotension occurred, mobilization was postponed for 30 min. Analgesic treatment needs, walking distance, co-morbidity, hospitalization, postoperative complications within 30 days, and drainage and discharge times of patients were analyzed. The lobectomy with thoracotomy was performed in 48 patients. Thirty-six patients were male. The rate of additional systemic diseases was 58.3%. Forty patients walked in the first 3 h postoperatively. The mean walking distance was 140 & PLUSMN; 38.5 m. The rate of orthostatic hypotension was 8.3%. The routine analgesic treatment included intravenous paracetamol 3 g and dexketoprofen 100 mg daily. In this study, 18% of patients received narcotic analgesics. Thromboembolic event and arrhythmia did not develop in any patient. The most common complication was prolonged air leaks (18.8%). Mobilization within the first 4 h following anatomical lung resection is feasible and safe. Early mobilization provided pain relief after lung surgery and reduced the use of narcotic analgesics and cardiovascular complications. The article is the first study about walking in first hours after pulmonary lobectomy with thoracotomy in the thoracic surgery literature.en_US
dc.identifier.doi10.1007/s13304-023-01617-1
dc.identifier.endpage2031en_US
dc.identifier.issn2038-131X
dc.identifier.issn2038-3312
dc.identifier.issue7en_US
dc.identifier.pmid37524991en_US
dc.identifier.scopus2-s2.0-85166228838en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2027en_US
dc.identifier.urihttps://doi.org10.1007/s13304-023-01617-1
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4668
dc.identifier.volume75en_US
dc.identifier.wosWOS:001040136400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Italia Srlen_US
dc.relation.ispartofUpdates In Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAnalgesiaen_US
dc.subjectComplicationen_US
dc.subjectImmobilizationen_US
dc.subjectLobectomyen_US
dc.subjectPostoperative Careen_US
dc.titleEffects of mobilization within the first 4 h following anatomical lung resection with thoracotomyen_US
dc.typeArticleen_US

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