Incentive Spirometry.pptx

An incentive Spirometer is a device that increases pulmonary function, and also clears Secretions of the air pathway.
It reduces Postoperative Pulmonary Complications.
It also stimulates cough.
It will give Visual Feedback to the Patient and encourages the Patient.

1. Incentive spirometer Dr. T. SUNIL KUMAR Dept. of Physiotherapy

2. Incentive spirometry Incentive spirometers are mechanical devices introduced in an attempt to reduce postoperative pulmonary complications. The patient takes a slow deep breath in, with his lips sealed around the mouthpiece and is motivated by visual feedback, for example a ball rising to a preset marker (600cc, 900cc & 1200cc). The patient aims to generate a predetermined flow or to achieve a preset volume and he is encouraged to hold his breath for 2-3 seconds at full inspiration, which would encourage expansion of the upper chest

3. A short sharp inspiration can activate the flow-generated incentive spirometry devices with little increase in tidal volume, but with a volume-dependent device an increase in tidal volume must be achieved before the preset level can be reached. The pattern of breathing while using an incentive spirometer is important, Expansion of the lower chest should be emphasized rather than the use of the accessory muscles of respiration

4. Diaphragmatic movement is thought to be an important factor in the prevention of postoperative pulmonary complications. Incentive spirometry has been shown to increase abdominal movement in normal subjects, but not in subjects following abdominal surgery. Postoperatively, an increase in diaphragmatic movement has been observed by encouraging, an increase in lung volume while using the pattern of breathing control without the resistive loading of an incentive spirometer

5. This may help to reduce postoperative pulmonary complications by increasing ventilation to the dependent parts of the lungs. Incentive spirometry has been compared with intermittent positive pressure breathing , continuous positive airway pressure and chest physiotherapy in patients following surgery. Few differences between the regimens have been reported.

6. There may be a place for the use of incentive spirometry in children and in some adolescents to provide motivation to increase lung volume following surgery, but the use of breathing control and thoracic expansion exercises with an inspiratory hold should be encouraged, and combined with ambulation may be more effective in the prevention of postoperative pulmonary complications

7. Thank you