Assessment of Feasibility of Early Ambulation and Food-intake on the Operative Day after Lung Resection

To decrease the risk of morbidity, we have started an early ambulation and food-intake program conducted on the same day as pulmonary resection. This protocol was developed with consideration of the characteristics of lung surgery and conducted through an interdisciplinary team-approach. The assessm...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 68; no. 10; p. 801
Main Authors Harada, Hiroaki, Yamashita, Yoshinori, Handa, Yoshinori, Tsubokawa, Norifumi, Takenaka, Chie, Misumi, Keizo, Kubota, Makiko, Nakao, Junichi, Takahama, Miho, Michihiro, Hiroyuki, Arinaga, Orie
Format Journal Article
LanguageJapanese
Published Japan 01.09.2015
Subjects
Aged
Aged, 80 and over
Delirium - etiology
Early Ambulation - adverse effects
Eating
Feasibility Studies
Humans
Male
Pneumonectomy
Postoperative Complications
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Summary:To decrease the risk of morbidity, we have started an early ambulation and food-intake program conducted on the same day as pulmonary resection. This protocol was developed with consideration of the characteristics of lung surgery and conducted through an interdisciplinary team-approach. The assessment of feasibility and clinical effectiveness of this protocol was evaluated in 64 consecutive patients. No apparent adverse effect relating to this protocol was recorded. Fifty-five of 64 patients( 80%) were able to accomplish ambulation to the up-right standing position. Thirty-four of 64 patients( 53%) were able to consume more than half the amount of their hospital supper. No patients, including 5 patients who had had a past-history of postoperative delirium after their previous surgery, developed postoperative delirium after conducting this protocol. This protocol, which consisted of extraordinary early ambulation and food-intake on the operative day, was done safely and is expected to have some benefit as a postoperative management protocol for lung surgery.
ISSN:0021-5252