Focused Incentive Spirometry Monitoring to Reduce Postoperative Oxygen Therapy and Respiratory Complications After Bariatric Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Respiratory Complication
- Sponsor
- University of Colorado, Denver
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Frequency of at least one episode of moderate/severe hypoxemic event
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients having planned elective bariatric surgery at University of Colorado Hospital
Exclusion Criteria
- •Emergency procedure
- •Oxygen therapy within the previous 30 days
- •Smoking within the previous 30 days
- •Inability or refusal to provide consent
Outcomes
Primary Outcomes
Frequency of at least one episode of moderate/severe hypoxemic event
Time Frame: During first post operative day
Secondary Outcomes
- Presence of postoperative oxygen therapy and postoperative hypoxemic events(Up to 7 days after surgery)
- Duration of postoperative oxygen therapy(Up to 7 days after surgery)