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Clinical Algorithm Overview

Pulmonary Function

Mobility

Delphi Study Results

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Delphi Study Results
 

Phase 1: Summary of Comments

Group 1: Abdominal Surgery


Best practice recommendations

Recommendation 1

AGREEMENT:2/5
DISAGREEMENT: 3/5

POSTED COMMENTS:

  • Further management should include targeted mobilization (and be the first choice) and breathing exercises added when necessary.

  • I agree with everything except that I put CPAP in a different group to DBE, PEP IS IPPB. Any of DBE PEP IPPB IS can be used in routine care after UAS. However in the presence of persisitent hypoxaemia the treatment of choice is CPAP

  • Early mobilisation decreases incidence of numerous complications. PT in excess of this and directed cough may not be beneficial
 

Recommendation 1 : STRENGTH

AGREEMENT:5/5
DISAGREEMENT: 0/5

POSTED COMMENTS:

  • The cost benefit has not been reported in any research that I know. I agree that the definition of outcomes particularly PPC are not clearly defined
 

Recommendation 1 : Quality of evidence

AGREEMENT:4/5
DISAGREEMENT: 0/5
NO RESPONSE:1/5

POSTED COMMENTS:

  • I do agree with the comment that evidence is moderate. I just wanted to comment that Pasquina SR did not include Olsens RCT which is quite a big omission even though They scored the highest
 
 
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