Obesity with Metabolic Comorbidities
Conditions
Interventions
IPI-Guided Group:ontinuous IPI Monitoring + Tiered Intervention Protocol
Control group:Traditional vital signs monitoring
Sponsors
Tianjin Medical University General Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Age 18-70 years, BMI >= 40 kg/m^2 or BMI >=35 kg/m^2 with comorbid metabolic diseases (e.g., diabetes, hypertension) Scheduled to undergo general anesthesia for bariatric surgery (procedure duration >= 1 hour) ASA physical status classification I-III Absence of severe cognitive impairment (capable of cooperating with CAM-ICU assessment)
Exclusion criteria
Exclusion criteria: Preoperatively diagnosed OSA requiring CPAP therapy Severe cardiopulmonary diseases (COPD, pulmonary hypertension) Emergency surgery or refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity of IPI in predicting hypoxemia;Incidence of respiratory adverse events within 24 hours after discharged from the PACU; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications; | — |
Countries
China
Contacts
Public ContactYuanyuan Cao
Tianjin Medical University General Hospital
Outcome results
None listed