Postoperative SpO₂/FiO₂ Ratio and Analgesic Methods in Laparoscopic Surgery

N/ANot Yet RecruitingNCT07401589

Istinye University100 enrolled

Overview

This prospective observational study aims to evaluate the association between postoperative oxygenation, assessed by the SpO₂/FiO₂ ratio, and body mass index (BMI), STOP-BANG score, and postoperative analgesic methods in patients undergoing elective laparoscopic cholecystectomy in the reverse Trendelenburg position. Postoperative SpO₂ and FiO₂ values will be recorded within the first postoperative hour, and the SpO₂/FiO₂ ratio will be calculated. Analgesic techniques applied as part of routine clinical practice will be documented. The study does not involve any additional intervention beyond standard care. The findings are expected to contribute to a better understanding of factors associated with early postoperative oxygenation and hypoxemia risk.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Postoperative Hypoxemia

Interventions

Standard of CareOTHER

No intervention is applied in this study. Patients are managed according to routine clinical practice. Demographic data, body mass index, STOP-BANG score, postoperative analgesic methods, and postoperative SpO₂ and FiO₂ values are recorded, and the SpO₂/FiO₂ ratio is calculated. All data are collected observationally without any additional procedures or changes to standard care.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years * Patients who provide written informed consent * ASA physical status I-III * Patients undergoing elective laparoscopic cholecystectomy * Surgery performed in the reverse Trendelenburg position (30°) * Expected operative duration \< 3 hours * Exclusion Criteria: * Age \< 18 years * Refusal or inability to provide informed consent * ASA physical status IV or higher * Known chronic respiratory diseases (e.g., asthma, COPD) * Severe cardiac failure (NYHA class III-IV) or advanced cardiovascular disease * Emergency surgery * Preoperative oxygen supplementation or baseline SpO₂ \< 90% * Prolonged intubation or perioperative respiratory complications * Requirement for postoperative noninvasive ventilation or intensive care unit admission * Missing SpO₂ or FiO₂ data preventing calculation of the SpO₂/FiO₂ ratio

Outcomes

Primary Outcomes

postoperative SpO₂/FiO₂ Ratio

The SpO₂/FiO₂ ratio calculated using peripheral oxygen saturation (SpO₂) and fraction of inspired oxygen (FiO₂) measured during the early postoperative period to assess postoperative oxygenation.

Time frame: Within the first postoperative hour (0-60 minutes after surgery)