Prehabilitation: a narrative review focused on exercise therapy for the prevention of postoperative pulmonary complications following lung resection

Frontiers in Medicine

Medicine

Ata Murat Kaynar¹  Nüzhet Mert Şentürk²  Emre Sertaç Bingül³ 

[1] Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA, United States;The Center for Innovation in Pain Care (CIPC), University of Pittsburgh, Pittsburgh, PA, United States;Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, United States;The Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, University of Pittsburgh, Pittsburgh, PA, United States;Department of Anesthesiology, Acibadem University School of Medicine, Istanbul, Türkiye;Department of Anesthesiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye;

关键词: prehabilitation;    lung resection;    thoracic anesthesia;    thoracic surgery;    enhanced recovery after surgery;    physical fitness;   

DOI  :  10.3389/fmed.2023.1196981

 received in 2023-03-30, accepted in 2023-09-15,  发布年份 2023

来源: Frontiers

【 摘 要 】

Extensive preventive strategies in the perioperative period are popular worldwide. Novel “prehabilitation” approaches are being defined for every individual surgical discipline. With intention to reduce perioperative morbidity, “prehabilitation” was developed to increase “physical wellness” considering exercise capacity, nutritional status, and psychological support. Thus, prehabilitation could be well-suited for patients undergoing lung cancer surgery. Theoretically, improving physical condition may increase the chances of having a better post-operative course, especially among frail patients. In this review, we describe the concept of prehabilitation with possible benefits, its role in the Enhanced Recovery After Surgery protocols, and its potential for the future.

【 授权许可】

Unknown   
Copyright © 2023 Bingül, Şentürk and Kaynar.