{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:45:24Z","timestamp":1761007524343,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To investigate respiratory and hemodynamic responses to deep breathing exercise (DBE) during the follow\u2010up period in the intensive care unit after major head and neck surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS AND METHODS<\/jats:title><jats:p>Thirty\u2010five patients were instructed to perform DBE every hour for 3 consecutive hours during the first postoperative day. The ratio of the partial pressure of arterial oxygen to the fraction of inspired oxygen (PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub>), oxygen saturation (SpO<jats:sub>2<\/jats:sub>), respiratory rate (RR), heart rate (HR), and mean arterial pressure (MAP) was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>DBE increased the PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> ratio from 416.7 \u00b1 143.6 to 453.4 \u00b1 141.4\u00a0mm Hg and increased SpO<jats:sub>2<\/jats:sub> from 97.4 \u00b1 1.9 to 99.2 \u00b1 0.9. DBE decreased the RR from 24.1 \u00b1 3.3 to 21.8 \u00b1 2.9 breaths\/min (<jats:italic>P<\/jats:italic> &lt; 0.05). No statistically significant difference in HR or MAP was observed after DBE (<jats:italic>P<\/jats:italic> &gt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>DBE improves oxygenation after major head and neck surgery, without causing additional harmful hemodynamic effects.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2008.04.025","type":"journal-article","created":{"date-parts":[[2008,7,24]],"date-time":"2008-07-24T04:59:19Z","timestamp":1216875559000},"page":"281-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of deep breathing exercises on oxygenation after major head and neck surgery"],"prefix":"10.1002","volume":"139","author":[{"given":"Arzu","family":"Gen\u00e7","sequence":"first","affiliation":[{"name":"Dokuz Eyl\u00fcl University School of Physical Therapy and Rehabilitation Izmir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Omer","family":"Ikiz","sequence":"additional","affiliation":[{"name":"Dokuz Eyl\u00fcl University School of Medicine Department of Ear Nose Throat and Head &amp; 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