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pandora jewellery AbstractObjectives To examine the safety and effectiveness of cobalt chromium everolimus eluting stents compared with bare metal stents.Design Individual patient data meta analysis of randomised controlled trials. Cox proportional regression models stratified by trial, containing random effects, were used to assess the impact of stent type on outcomes. Hazard ratios with 95% confidence interval for outcomes were reported.Data sources and study selection Medline, Embase, the Cochrane Central Register of Controlled Trials. pandora jewellery
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pandora jewelry The incidence of respiratory complications was 15% (35/231) for patients in the incentive spirometry group and 12% (28/225) for patients in the mixed therapy group (P=0.40; 95% confidence interval 3.6% to 9.0%). It required similar amounts of staff time to provide incentive spirometry and deep breathing exercises for low risk patients. The inclusion of physiotherapy for high risk patients, however, resulted in the utilisation of an extra 30 minutes of staff time per patient.Conclusions: When the use of resources is taken into account, the most efficient regimen of prophylaxis against respiratory complications after abdominal surgery is deep breathing exercises for low risk patients and incentive spirometry for high risk patients.Key messagesKey messagesMost postoperative respiratory complications were due to atelectasis: less than 1% of the patients developed pneumoniaAn American Society of Anesthesia classification >1 and an age >/=60 years is a simple way of defining patients at high risk of respiratory complications and other adverse events after abdominal surgeryA regimen consisting of deep breathing exercises (low risk patients) and incentive spirometry (high risk patients) is an efficient way of providing prophylaxis against respiratory complications after abdominal surgeryChest therapy after surgery is directed towards maximal inspiration in an attempt to prevent overt atelectasis and allow for the early re expansion of collapsed alveoli pandora jewelry.