Cardiac Prehabilitation

Main Article Content

Saranya Lertkovit
Chalita Jiraphorncharas
Sunit Jarungjitaree
Kanuch Aosangdeekul
Wilawan Thirapatarapong

Abstract

The cardiac surgery is one of the treatments that improve life quality in the patient with cardiac disease. It is a high risks surgery requiring a special technique called cardiopulmonary bypass circuit which provokes the systemic inflammatory response resulting in many complications after surgery. Cardiac prehabilitation is defined as the process of preparing patients waiting for cardiac surgery for improve general health and wellbeing aims to be tolerated with surgical stress-related and enhance postoperative recovery. Although complications arise, they can be quickly recovered. Cardiac prehabilitation scope and interest with three aspects includes: physical factor, psychological factor, and social factor. By determining the risks in each aspect of the patient and managing to correct the risk before surgery. The success of cardiac prehabilitation requires teamwork from multidisciplinary professions to be efficient, accurate, appropriate, and safe. The professional anesthesia personnel are one of the teams that plays an important role in caring for patients during surgery to enhance recovery and improve the quality of life after cardiac surgery.

Article Details

Section
Review articles

References

Hill A, Nesterova E, Lomivorotov V, et al. Current evidence about nutrition support in cardiac surgery patients-what do we know? Nutrients. 2018;10:597.

Cordeiro AL, de Melo TA, Neves D, et al. Inspiratory muscle training and functional capacity in patients undergoing cardiac surgery. Braz J Cardiovasc Surg. 2016;31:140-4.

Tew GA, Bedford R, Carr E, et al. Community-based prehabilitation before elective major surgery: the PREP-WELL quality improvement project. BMJ Open Quality. 2020;9:e000898.

Durrand J, Singh SJ, Danjoux G. Prehabilitation. Clin Med (Lond). 2019;19:458-64.

Carli F. Prehabilitation for the anesthesiologist. Anesthesiology. 2020;133:645-52.

McCann M, Stamp N, Ngui A, Litton E. Cardiac prehabilitation. J Cardiothorac Vasc Anesth. 2019;33:2255-65.

Zheng YT, Zhang JX. Preoperative exercise and recovery after cardiac surgery: a meta-analysis. BMC Cardiovasc Disord. 2020;20:2.

Laboratories ATSCoPSfCPF. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111-7.

Harnphadungkit K. 6-Minute Walk Test. J Thai Rehabil Med. 2014;24:1-4.

Fletcher GF, Balady GJ, Amsterdam EA, et al. Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association. Circulation. 2001;104:1694-740.

American Association of Cardiovascular & Pulmonary Rehabilitation. AACVPR Cardiac rehabilitation resource manual: promoting health and preventing disease. Chicago, IL: Human Kinetics 2006.

Katsura M, Kuriyama A, Takeshima T, Fukuhara S, Furukawa TA. Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database Syst Rev. 2015(10):CD010356.

Hulzebos EHJ, Helders PJM, Favié NJ, De Bie RA, Brutel de la Riviere A, Van Meeteren NLU.

Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery-a randomized clinical trial. JAMA. 2006;296:1851-7.

Valkenet K, de Heer F, Backx FJ, et al. Effect of inspiratory muscle training before cardiac surgery in routine care. Phys Ther. 2013;93:611-9.

Borg G. Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990;16Suppl1:55-8.

Sahar W, Ajaz N, Haider Z, Jalal A. Effectiveness of pre-operative respiratory muscle training versus conventional treatment for improving postoperative pulmonary health after coronary artery bypass grafting. Pak J Med Sci. 2020;36:1216-9.

Romanini W, Muller AP, Carvalho KA, et al. The effects of intermittent positive pressure and incentive spirometry in the postoperative of myocardial revascularizarion. Arq Bras Cardiol. 2007;89:94-9.

Weindler J, Kiefer RT. The efficacy of postoperative incentive spirometry is influenced by the device-specific imposed work of breathing. Chest. 2001;119:1858-64.

Kundra P, Vitheeswaran M, Nagappa M, Sistla S. Effect of preoperative and postoperative incentive spirometry on lung functions after laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2010;20:170-2.

Paisani DM, Lunardi AC, da Silva CC, Porras DC, Tanaka C, Carvalho CR. Volume rather than flow incentive spirometry is effective in improving chest wall expansion and abdominal displacement using optoelectronic plethysmography. Respir Care. 2013;58:1360-6.

Bartlett RH, Brennan ML, Gazzaniga AB, Hanson EL. Studies on the pathogenesis and prevention of postoperative pulmonary complications. Surg Gynecol Obstet. 1973;137:925-33.

Westerdahl E, Lindmark B, Eriksson T, Hedenstierna G, Tenling A. The immediate effects of deep breathing exercises on atelectasis and oxygenation after cardiac surgery. Scand Cardiovasc J. 2003;37:363-7.

Ornato JP, Hand MM. Cardiology patient page: warning signs of a heart attack. Circulation. 2001;103:E124-5.

Gillis C, Carli F. Promoting perioperative metabolic and nutritional care. Anesthesiology. 2015;123:1455-72.

Lomivorotov VV, Efremov SM, Boboshko VA, et al. Evaluation of nutritional screening tools for patients scheduled for cardiac surgery. Nutrition. 2013;29:436-42.

Stoppe C, Goetzenich A, Whitman G, et al. Role of nutrition support in adult cardiac surgery: a consensus statement from an international multidisciplinary expert group on nutrition in cardiac surgery. Crit Care. 2017;21:131.

Chermesh I, Hajos J, Mashiach T, et al. Malnutrition in cardiac surgery: food for thought. Eur J Prev Cardiol. 2014;21:475-83.

Williams JB, Alexander KP, Morin JF, et al. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged >70 years undergoing cardiac surgery. Am J Cardiol. 2013;111:137-42.

Beresnevaite M, Benetis R, Taylor GJ, Jureniene K, Kinduris S, Barauskiene V. Depression predicts perioperative outcomes following coronary artery bypass graft surgery. Scand Cardiovasc J. 2010;44:289-94.

Correa-Rodriguez M, Abu Ejheisheh M, Suleiman-Martos N, et al. Prevalence of depression in coronary artery bypass surgery: a systematic review and meta-analysis. J Clin Med. 2020;9:909.

Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth Analg. 2000;90:706-12.

Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011;63 Suppl11:S467-72.

Lichtman JH, Bigger JT Jr, Blumenthal JA, et al. Depression and coronary heart disease: recommendations for screening, referral, and treatment: a science advisory from the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association. Circulation. 2008;118:1768-75.

Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41:1284-92.

Pawlow LA, Jones GE. The impact of abbreviated progressive muscle relaxation on salivary cortisol. Biol Psychol. 2002;60:1-16.

Sheu S, Irvin BL, Lin H-S, Mar C-L. Effects of

Progressive Muscle Relaxation on Blood Pressure and Psychosocial Status for Clients with Essential Hypertension in Taiwan. Holistic Nursing Pract. 2003;17:41-7.

Yoshinaga N, Nosaki A, Hayashi Y, et al. Cognitive Behavioral Therapy in Psychiatric Nursing in Japan. Nursing Res Pract. 2015;2015:1-7.

Hernandez-Palazon J, Fuentes-Garcia D, Falcon-Arana L, et al. Assessment of preoperative anxiety in cardiac surgery patients lacking a history of anxiety: contributing factors and postoperative morbidity. J Cardiothorac Vasc Anesth. 2018;32:236-44.

Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: a review of randomised controlled trials. J Clin Nurs. 2015;24:34-46.

Ramesh C, Nayak BS, Pai VB, et al. Effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery: a systematic review and meta-analysis. J Perianesth Nurs. 2017;32:518-29e2.

Blumenthal JA, Sherwood A, Smith PJ, et al. Enhancing cardiac eehabilitation with stress management training: a randomized, clinical efficacy trial. Circulation. 2016;133:1341-50.

Kshettry VR, Carole LF, Henly SJ, Sendelbach S, Kummer B. Complementary alternative medical therapies for heart surgery patients: feasibility, safety, and impact. Ann Thorac Surg. 2006;81:201-5.

Chang HK, Peng TC, Wang JH, Lai HL. Psycho-physiological responses to sedative music in patients awaiting cardiac catheterization examination: a randomized controlled trial. J Cardiovasc Nurs. 2011;26:E11-8.

Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev. 2013(12):CD006577.

Mandel SE, Hanser SB, Secic M, Davis BA. Effects of music therapy on health-related outcomes in cardiac rehabilitation: a randomized controlled trial. J Music Ther. 2007;44:176-97.

Gonçalves CG, Groth AK. Prehabilitation: how to prepare our patients for elective major abdominal surgeries? Rev Col Bras Cir. 2019;46:e20192267.

Carli F, Awasthi R, Gillis C, et al. Integrating prehabilitation in the preoperative clinic: a paradigm shift in perioperative care. Anesth Analg. 2021;132:1494-500.

Kolodziej T, Maciejewski T, Mendrala K, et al. Enhanced recovery after cardiac surgery. Kardiochir Torakochirurgia Pol. 2019;16:32-6.

Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: enhanced recovery after surgery society recommendations. JAMA Surg. 2019;154:755-66.