HYBRID EVENT: You can participate in person at London, UK or Virtually from your home or work.

6th Edition of Global Conference on Surgery and Anaesthesia

September 15-17, 2025 | Hybrid Event

September 15 -17, 2025 | London, UK
GCSA 2025

Use of spirometry for chest training as part of ERAS guidelines in patients post rib fractures and major colorectal surgeries

Ammar Nadeem, Speaker at Surgery Conferences
Bedfordshire Hospitals NHS Foundation Trust, United Kingdom
Title : Use of spirometry for chest training as part of ERAS guidelines in patients post rib fractures and major colorectal surgeries

Abstract:

Background: ERAS (Enhanced Recovery After Surgery) guidelines highlight early mobilization—including deep breathing exercises—as crucial for improved postoperative outcomes. Spirometry supports pulmonary recovery, but its use remains inconsistent in practice.

Aim: To assess compliance with spirometry use postoperatively and its impact on length of hospital stay and incidence of chest infections in patients with major colorectal surgeries or rib fractures.

Methods: A two-cycle audit was conducted in the General and Colorectal Surgery Department at Bedford Hospital (October 2024 – May 2025). Patients admitted with rib fractures or undergoing major colorectal surgeries were included. Both cycles lasted 3 months. The first cycle included 103 patients; the second, post-intervention, included 53. Data on spirometer use, length of hospital stay, and chest infections were collected.

Results: Spirometer use improved from 0% in the first cycle to 81.1% (43/53) in the second. All patients undergoing robotic colorectal resections received spirometers, with no postoperative chest infections.

  • Length of stay reduced:
    • Colorectal surgery: from 9 to 6 days (33.3%)
    • Rib fractures: from 11 to 8 days (27.2%)
  • Chest infections decreased from 9 to 4 cases (44%).

Conclusion: Improving spirometry use in line with ERAS guidelines significantly reduced hospital stay and postoperative chest infections. Routine implementation may enhance recovery in both surgical and trauma patients.

Biography:

Nadeem completed Bachelors of Medicine and Surgery from JSMU, Pakistan. He completed his foundation year there and then moved to UK where he is working as a Clinical Fellow in NHS in Colorectal Surgery department.

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