Clinical Effectiveness of Incentive Spirometry for the Prevention of Postoperative Pulmonary Complications

Abstract

Incentive spirometry (IS) is commonly prescribed to reduce pulmonary complications, despite limited evidence to support its benefits and a lack of consensus on optimal protocols for its use. Although numerous studies and meta-analyses have examined the effects of IS on patient outcomes, there is no clear evidence establishing its benefit to prevent postoperative pulmonary complications. Clinical practice guidelines advise against the routine use of IS in postoperative care. Until evidence of benefit from well-designed clinical trials becomes available, the routine use of IS in postoperative care is not supported by high levels of evidence.

Keywords: atelectasis; compliance; hospital-acquired pneumonia; incentive spirometry; postoperative care; respiratory care; review of evidence; use procedure.