Postoperative Utilization of Incentive Spirometry With and Without Electronic Patient Reminders in the Post-Anesthesia Care Unit (PACU)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 231
- 试验地点
- 2
- 主要终点
- Rate of adequate IS breaths achieved in PACU
研究概览
简要总结
The purpose of this study is to determine if the frequency of use of incentive spirometry during the stay in the Post-Anesthesia Care Unit (PACU) increases with visual and auditory electronic reminders, as compared to not having those reminders.
详细描述
This is a pragmatic single-center alternating cluster study. We will enroll adult patients who require general anesthesia for surgery and receive an incentive spirometry device during their PACU stay. Automatic alarms to perform incentive spirometry will be set to either "ON" or "OFF" in alternating weeks. The hypothesis is that patients receiving automatic audible and visual alarms will have increased rates of adequate incentive spirometry breaths compared to patients receiving no alarms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcome collection and data analysis will be performed by investigators blinded to the patient's cluster allocation (alarms "ON" or "OFF").
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •be 18 years or older;
- •have undergone a surgical procedure at the University of Colorado Hospital under general anesthesia;
- •have incentive spirometry ordered by their provider, or incentive spirometry must be part of the study site's standard-of-care which is implemented by hospital staff;
- •not have severe hearing or impaired visual acuity deficiency, in that they cannot hear or see the audible and visual signal of the InSee monitor.
排除标准
- •have a severe hearing or visual acuity impairment that prevents them from hearing or seeing the audible and visual signals of the InSee monitor;
- •have the inability to perform incentive spirometry due to refusal, cognitive impairment, neuromuscular weakness, anatomical or any other reasons (e.g., tracheotomy, oral surgery, unable to hold incentive spirometry device);
- •are a part of a vulnerable population (e.g., pregnant, minors, prisoners).
研究组 & 干预措施
Alarm "ON" Cohort
The "ON" cohort will receive the standard-of-care instructions for IS and information about the auditory and visual reminders. The "ON" cohort patients will receive audible and visual signals from the InSee monitor attached to their incentive spirometer every 20 minutes and upon successfully reaching certain achievements.
干预措施: Alarms (Device)
Alarm "OFF" Cohort
The "OFF" cohort will receive only the standard-of-care instructions for IS. The "OFF" patients will receive no signals from the InSee monitor attached to their incentive spirometer.
干预措施: Alarms (Device)
结局指标
主要结局
Rate of adequate IS breaths achieved in PACU
时间窗: PACU stay (up to 3 hours)
Rate of adequate incentive spirometry breaths achieved by patients per hour for up to 3 hours during the PACU stay
Rate of Adequate IS Breaths Achieved in PACU
时间窗: PACU stay (up to 3 hours)
Rate of adequate incentive spirometry breaths achieved by patients per hour for up to 3 hours during the PACU stay
次要结局
- Time to first adequate IS breath(PACU stay (up to 3 hours))
- Rate of IS breaths attempted in PACU(PACU stay (up to 3 hours))
- Duration of postoperative O2 therapy(Hospital stay (up to first 3 postoperative days))
- Need for ICU Admission after PACU(Hospital stay (up to first 3 postoperative days))
- Presence of postoperative pulmonary complications(Hospital stay (up to first 3 postoperative days))
- PACU Length of Stay(PACU stay)
- Individual postoperative pulmonary complications(Hospital stay (up to first 3 postoperative days))