Morbid Obesity
Conditions
Keywords
bariatric surgery, morbidly obese, BMI >35, CPAP, Venturi, Boussignac, Ventilation, Pulmonary function, Morbidly Obese Patients undergoing bariatric surgery
Brief summary
This is a randomized controlled study in which morbidly obese patients undergoing bariatric surgery will be recruited in the preoperative clinic. Patients will be randomized into 2 groups to receive oxygen with Boussignac TM continuous positive airway pressure (CPAP) or conventional Venturi mask postoperatively immediately after extubation. The objective of the study is to examine if Boussignac TM CPAP results in improved oxygenation versus Venturi face mask when it is applied immediately after extubation in morbidly obese patients post bariatric surgery.
Interventions
Post-operative patients will be fitted with a Boussignac TM CPAP mask immediately after extubation and oxygenation and pulmonary function will be measured over a 24 hour period.
Post-operative patients will be fitted with a Venturi face mask immediately after extubation and oxygenation and pulmonary function will be measured over a 24 hour period.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient aged between 18 to 75 years of age * American Society of Anesthesiologists' (ASA) class I to III * Morbidly obese with a body mass index \> 35 kg/m2 * Patients undergoing bariatric surgery
Exclusion criteria
* Patient refusal * Pre-existing cardiac failure, asthma, chronic obstructive pulmonary disease or interstitial pulmonary disease * Systolic blood pressure less than 90 mmHg despite pharmacotherapy * Hb \< 70 g/L * Impaired gastric emptying * Severe psychiatric disorder * Language barrier
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PaO2/FiO2 ratio (PF ratio) immediately on arrival to postanesthesia care unit, 1 hour, 2 hours, and 24 hours post-extubation. | 24 hours |
Countries
Canada