Focused Incentive Spirometry Monitoring to Reduce Postoperative Oxygen Therapy and Respiratory Complications After Bariatric Surgery
- Conditions
- Respiratory Complication
- Registration Number
- NCT03010852
- Lead Sponsor
- University of Colorado, Denver
- Brief Summary
Postoperative (PO) hypoventilation, atelectasis and hypoxemia after bariatric surgery are common and multifactorial, contributing to prolonged oxygen (O2) therapy after surgery and even at hospital discharge. Incentive spirometry (IS) is recommended postoperatively but its success in preventing postoperative atelectasis and hypoxemia (POH) heavily depends on patient compliance with IS effort and frequency. The investigators hypothesize that a focused education preoperatively on IS for POH and intensive monitoring of patient compliance with IS therapy in the early postoperative period shortens postoperative oxygen therapy, decreases POH episodes, and improves respiratory outcomes after bariatric surgery, compared to patients receiving standard of care.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Patients having planned elective bariatric surgery at University of Colorado Hospital
- Emergency procedure
- Oxygen therapy within the previous 30 days
- Smoking within the previous 30 days
- Inability or refusal to provide consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Frequency of at least one episode of moderate/severe hypoxemic event During first post operative day
- Secondary Outcome Measures
Name Time Method Presence of postoperative oxygen therapy and postoperative hypoxemic events Up to 7 days after surgery The development of postoperative hypoxemic events will be evaluated from the initiation of post-operative oxygen therapy through hospital discharge.
Duration of postoperative oxygen therapy Up to 7 days after surgery The duration of postoperative oxygen therapy will be evaluated from the arrival to the post-anesthesia care unit to successful discontinuation of oxygen therapy lasting greater than 2 hours.
Trial Locations
- Locations (1)
University of Colorado Hospital
🇺🇸Aurora, Colorado, United States
University of Colorado Hospital🇺🇸Aurora, Colorado, United States