Respiratory Depression
Conditions
Brief summary
Respiratory volume monitor (RVM) (ExSpiron) is superior to continuous pulse oximetry in detection of postoperative respiratory depression in high risk patients.
Detailed description
Aims are to: 1) Estimate the incidence of postoperative respiratory depression in high risk patients as detected by continuous pulse oximetry 2) Estimate the incidence of postoperative respiratory depression in high risk patients as detected by continuous respiratory volume monitor (RVM) (ExSpiron) 3) Assess the agreement between the continuous pulse oximetry and continuous respiratory volume monitor (RVM) (ExSpiron) in detection of postoperative respiratory depression in high risk patients
Interventions
Respiratory volume monitor (RVM) (ExSpiron, is a non-invasive FDA approved device that monitors minute ventilation (MV) and provides an early indication of respiratory status in non-intubated patients. The system consists of a lightweight monitor, a patient cable, and a disposable electrode PadSet, which detects changes in breathing.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who suffered rib fractures or patients who are weaned from mechanical ventilation and recently extubated.
Exclusion criteria
* Have known contraindication/allergy to neuroaxial/paravertebral nerve block anesthesia * Patients allergic to morphine. * Have an ASA class \> IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The incidence of postoperative respiratory depression | 1 year | To define the incidence of postoperative respiratory depression between 2 devices. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detection of postoperative respiratory depression in high risk patients. | 1 year | To determine the agreement between these 2 devices in detection of postoperative respiratory depression in high risk patients. |
Countries
United States