Efficacy of preoperative incentive spirometry on fentanyl-induced cough during induction of general anaesthesia & postoperative pulmonary complications: A prospective controlled study

DR. SWEETY BHOLA; DR. NEELESH NEMA

Volume : VIII, Issue : II, February - 2019

Efficacy of preoperative incentive spirometry on fentanyl-induced cough during induction of general anaesthesia & postoperative pulmonary complications: A prospective controlled study

Dr. Sweety Bhola, Dr. Neelesh Nema

Abstract :

Background:Incentive spirometry creates forceful inspiration,while stretching pulmonary receptors. The aim of our study is to evaluate the efficacy of preoperative incentive spirometry on fentanyl–induced cough during induction of GA & postoperative pulmonary complications. Methods:100 patients were allocated into group IS & group C: depending on whether they have received preoperative incentive spirometry before fentanyl administration or not. Patients in the group IS performed incentive spirometry 10 times just before an intravenous bolus of 2μg/kg fentanyl. Incidence & severity of coughs after fentanyl injection and postoperative pulmonary complications were recorded. Results & Conclusion:Patients in the group IS had a significantly lower incidence & severity of FIC than in group C (6% vs. 26%); (mild 5 vs 21; moderate 0 vs 8; severe 0 vs 2) (P<0.05). We have concluded that Preoperative incentive spirometry significantly reduces the incidence and severity of FIC and pulmonary complications.