When setting an initial volume goal for an incentive spirometer for a child after abdominal surgery, what should it be based on?

When establishing an initial volume goal for an incentive spirometer for a child post-abdominal surgery, it is essential to base that goal on the child's size and lung capacity rather than an arbitrary high value.

Selecting a volume goal of 700 mL makes sense because it is generally appropriate for children, particularly those who are small or average-sized. Children typically have lower lung volumes compared to adults, and setting an initial goal that is achievable encourages compliance and helps prevent complications like atelectasis. The 700 mL target allows the child to use the incentive spirometer effectively without causing them to feel overwhelmed or discouraged by attempting to achieve a much higher volume.

Higher targets can be suitable for older or larger children, but for many pediatric patients, a goal around 700 mL is within a reasonable range that aligns with their anatomical and physiological characteristics. This approach not only ensures that the child utilizes the device appropriately but also supports recovery by gradually increasing lung capacity through achievable efforts.