Hypoxemia
Conditions
Brief summary
This study will evaluate the effectiveness of an automated voice prompting system on post operative hypoxia within the Postoperative Anesthesia Care Unit (PACU). This will be done to detect an improvement of the patient experience and provider care through a decrease in the number of peripheral capillary oxygen saturation (SpO2) monitor alarms via the patients own ability to follow the instruction and improve their SpO2 levels.
Detailed description
The investigators will examine and observe the patient's stay in the PACU and utilize the pulse oximetry software and data to analyze the ability to evaluate the difference in patient oxygenation levels and supplemental oxygen use with automated verbal prompted monitoring versus a standard care control group. As well as determine if automated verbal prompted monitoring leads to less monitor alarms and subsequent improvement of subjective alarm fatigue and patient satisfaction with their care versus standard care. The pulse oximeter will have a finger probe that will be attached to the patient's middle finger to read the patient's SpO2 levels. Each time the participant's pulse oximetry value declines to 93% or less, an automated verbal prompt, created via the software, will generate as a soft prompt. This will be followed up by a hard prompt if no improvement is seen in their oxygenation level after a period of time. A positive feedback elicitation will be given if the participant's saturation levels increase above 93%. This automated verbal prompt guidance will take place during the entirety of the investigational group's PACU stay.
Interventions
OTHERpulse oximetry software
This pulse oximetry software will utilize automated verbal prompts that direct the patients to breathe when their pulse oximetry reading falls at or below 93%.
BEHAVIORALBrief post-PACU stay survey.
Complete a brief post-PACU stay survey focused around their satisfaction and experience during their time in the PACU.
Sponsors
University of Florida
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* planned general anesthetic * ability to provide informed consent
Exclusion criteria
* use of regional anesthesia * altered mental status * hearing impairment requiring assistive devices * inability to hear normal conversational voice during the consent process * inability preoperatively to squeeze probe finger against thumb for any reason * baseline SpO2 less than or equal to 93% (on room air or baseline home oxygen requirement) * history of methemoglobinemia * suspected or confirmed carbon monoxide (CO) poisoning * planned admission to an intensive care unit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the frequency of a participant's SpO2 level falling below 87% | Change from baseline up to 24 hours | SpO2 will be monitored using the standard pulse oximeter system |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change between the study groups number of pulse oximetry alarms | Change from baseline up to 24 hours | SpO2 will be monitored using the standard physiologic monitoring system |
| Change between the study groups level of alarm fatigue | Change from baseline up to 24 hours | Number of participants reporting a decreased level of alarm noise |
| Change between the study groups level of postoperative care satisfaction | Change from baseline up to 24 hours | Number of participants reporting alarm noise affected their level of postoperative care satisfaction |
Countries
United States
Outcome results
None listed