The aim of this observational study is to compare the effects of preoperative breathing exercises during the preoxygenation period in patients undergoing abdominal surgery.
Patients who are planned for abdominal surgery under elective conditions and who meet the inclusion criteria will be divided into 2 groups after routine preoperative preparations. The 1st group will start at least 5 days before the preoperative period and until the preoperative period, a minimum of 5 minutes of effective triflo exercise will be performed 4 times a day under the supervision of a nurse, and the 2nd group (control group) will not be exercised except for routine preoperative preparation. Age, existing chronic diseases, body mass index, haemoglobin levels, smoking status, presence or absence of lung disease, SpO2 values before and at the end of respiratory exercise (in the preoperative respiratory exercise group) will be recorded. All patients will be monitored with ECG, SpO2, non invasive blood pressure, Masimo. After the patients are taken to the operating table, they will be preoxygenated with oxygen at FiO2 100% at 10 L\\min in supine position, with the anaesthesia mask placed on the patient's face so that there is no leakage. Patients will be preoxygenated until ETO2 concentration reaches 85%. When preoxygenation is started, the timer will be started and the time to reach ORI:0.55 and the time to reach ETO2 85% will be measured and recorded with a timer. Preoxygenation time will be limited to a maximum of 5 minutes and patients who do not reach ETO2 concentration 85% or ORI:0.55 within 5 minutes will be noted.
Study Type
OBSERVATIONAL
Enrollment
194
The Triflo Exerciser
Ankara Bilkent City Hospital
Ankara, Çankaya, Turkey (Türkiye)
Duration (sec) for end-tidal oxygen level to rise to 85%
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T)
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T)
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for end-tidal oxygen level to rise to 85% according to patient's age
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) according to patient's age
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55 according to patient's age
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) according to patient's age
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for end-tidal oxygen level to rise to 85% according to patient's BMI
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) according to patient's BMI
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55 according to patient's BMI
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) according to patient's BMI
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Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for end-tidal oxygen level to rise to 85% according to patient's gender
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) according to patient's gender
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55 according to patient's gender
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) according to patient's gender
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for end-tidal oxygen level to rise to 85% depending on whether the patients had known lung disease or not.
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) depending on whether the patients had known lung disease or not.
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55 depending on whether the patients had known lung disease or not.
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) depending on whether the patients had known lung disease or not.
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for end-tidal oxygen level to rise to 85% according to patient's hemoglobin level
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) according to patient's hemoglobin level
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for oxygen reserve index to rise to 0.55 according to patient's hemoglobin level
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) according to patient's hemoglobin level
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for the end-tidal oxygen level to rise to 85% according to whether the patient smokes or not
The investigators aimed to compare the duration for end-tidal oxygen level to rise 85% of two groups (C and T) according to whether the patient smoked or not.
Time frame: Between 0th minute and 5th minute of preoxygenation period
Duration (sec) for the oxygen reserve index to rise to 0.55 according to whether the patient smokes or not
The investigators aimed to compare the duration for oxygen reserve index to rise to 0.55 of two groups (C and T) according to whether the patient smoked or not.
Time frame: Between 0th minute and 5th minute of preoxygenation period
Oxygen saturation level (%) at the beginning and end of 5-day triflo exercise
The investigators aimed to examine whether there was a significant difference between oxygen saturations before the start of the study and at the end of the 5-day study in the group of patients who underwent Triflo exercise (T).
Time frame: In the preoperative period before the initiation of triflo exercise and before preoxygenation after 5 days of triflo exercise