The purpose of this study is to evaluate the use of preoperative incentive spirometry (IS) as an aid to improve postoperative lung function. The hypothesis is that application of a standardized protocol of preoperative respiratory care teaching and exercise will improve lung performance that will subsequently result in prevention of postoperative pulmonary complications and that increasing the duration of preoperative use better improves lung mechanics postoperatively. The investigators propose to compare a patient population that uses IS as currently prescribed in the routine course of care (only to be familiar with preoperatively, but use postoperatively) against a population that uses IS with a standardized regimen for at least 3 days prior to the operation in terms of preoperative IS volumes, intraoperative pulmonary mechanics, postoperative IS volumes, and incidence of postoperative pulmonary complications.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
helps patient monitor their inspiratory tidal volume and assists in the preventing lower airway collapse
Memorial Hermann Hospital
Houston, Texas, United States
Post Operative Incentive Spirometry Volume
After the operation, the patients to be discharged on the same day were approached in the postanesthesia care unit (PACU) and requested to use the spirometer again. The volume (best out of 2 attempts) was recorded together with the same vital signs recorded preoperatively. Patients who were admitted to the hospital were requested to use the spirometer again on postoperative day 1. The largest IS volume (out of 2 attempts) was recorded. The data presented is the mean largest IS volume the day after surgery.
Time frame: 1 week before surgery to the day after
Level of Compliance
Time frame: 3 days to 2 weeks after clinic visit on the day of surgery
Oxygen Saturation
Time frame: one week prior to surgery up to one day after
Heart Rate
Time frame: one week prior to surgery to post operative day 1
Respiratory Rate
Time frame: one week prior to surgery to post operative day 1
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