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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
240
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.
CU Anschutz
Aurora, Colorado, United States
Rate of adequate IS breaths achieved in PACU
Rate of adequate incentive spirometry breaths achieved by patients per hour for up to 3 hours during the PACU stay
Time frame: PACU stay (up to 3 hours)
Rate of IS breaths attempted in PACU
Rate of incentive spirometry breaths attempted by patients per hour for up to 3 hours during the PACU stay
Time frame: PACU stay (up to 3 hours)
Time to first adequate IS breath
The time it takes for the patient to achieve their first adequate IS breath, from the moment of being provided the IS device and instructions of use onward, during their PACU stay
Time frame: PACU stay (up to 3 hours)
Duration of postoperative O2 therapy
The total postoperative length of oxygen therapy use from the time the patient arrives to PACU to the end of their O2 therapy
Time frame: Hospital stay (up to first 3 postoperative days)
Presence of postoperative pulmonary complications
The number of study participants developing any pulmonary complications (including pneumonia, need for non-invasive ventilation (CPAP/BiPAP or reintubation for any reason and any duration) during the first 3 postoperative days
Time frame: Hospital stay (up to first 3 postoperative days)
Individual postoperative pulmonary complications
The number of study participants developing each pulmonary complication (pneumonia, need for non-invasive ventilation (CPAP/BiPAP or reintubation for any reason and any duration) during the first 3 postoperative days
Time frame: Hospital stay (up to first 3 postoperative days)
Need for ICU Admission after PACU
The frequency of patients requiring ICU admission immediately after their PACU stay
Time frame: Hospital stay (up to first 3 postoperative days)
PACU Length of Stay
The length of stay in the PACU
Time frame: PACU stay
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