S2E35 - Training the Diaphragm Before Major Surgery

Welcome to Season 2 of AMC Clinical Deep Dive! Inspiratory Muscle Training (IMT) is a high-yield intervention backed by NHMRC Level I evidence. This episode explores how 2–4 weeks of pre-operative training reduces postoperative pneumonia (NNT ≈4) and shortens hospital stays. Learn the protocol: high-intensity loading (60–80% MIP) using hand-held threshold devices. We cover critical safety contraindications, including spontaneous pneumothorax and unstable asthma. Master identifying high-risk patients (age >65, COPD, smokers) to deliver a safe, evidence-based management plan that examiners expect.#AMCClinicalExam #InspiratoryMuscleTraining #IMT #PostoperativePulmonaryComplications #OSCEManagement #IMGAustralia #SurgicalPre-rehabilitationPro Tip: In your OSCE, explicitly state that IMT has NHMRC Level I evidence for reducing pneumonia. Mentioning that the goal is to prevent atelectasis and bronchitis while specifying the contraindication of spontaneous pneumothorax will demonstrate the high-level safety and clinical knowledge required to pass the management domain.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: IMG Respiratory Prep: Inspiratory Muscle TrainingAlso, listen to the Pulmonary series:S1E62 - Pneunothrax_Diagnosis and Management for a 20-Year-Old WomanS1E101 - Emergency Resuscitation After Head and Chest TraumaS1E150 - Postoperative Fever in a 45-Year-Old Woman🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠Season 1⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.