Post Operative
Conditions
Keywords
Incentive spirometry, Post Operative, compliance
Brief summary
This study is designed to determine if patients using an incentive spirometer with visual and auditory signals will increase their use of the incentive spirometer and prevent lung complications.
Detailed description
The purpose of this study is to determine if the frequency of patients' use of physician ordered incentive spirometry increases with visual and auditory electronic encouragement (signals) compared to the no signal cohort. Secondarily this study will correlate short term outcomes of study patients to known short term outcome data from the study site and published data to determine if there is a relationship between frequency of use and positive or outcomes or complications, as cited by peer reviewed literature.
Interventions
InSee monitor patient signals are on.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients must meet all the following Inclusion criteria to be eligible for participation in the study: * Patient has undergone a qualifying surgical procedure. * Patient is aged 18 years or over. * Patient has incentive spirometry ordered or incentive spirometry must be part of the study site's standard of care which is implemented by hospital staff. * Patient is able to comply with all study required incentive spirometry instructions. * Patient is without severe hearing or impaired visual acuity deficiency such that they cannot hear or see the audible and visual signal for the InSee monitor.
Exclusion criteria
* Patients meeting any of the following
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of successful inspiratory breaths attempts per day. | through hospitalization an average of 5 days | successful inspiratory breaths is defined as achieving the goal tidal volume |
| Total number of inspiratory breaths achieved per day. | throughout hospitalization an average of 5 days | Inspiratory breaths while using the incentive spirometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 02 flow rate. | throughout hospitalization an average of 5 days | Change in 02 flow rate delivered to the patient. |
| inpatient Pulmonary complication rates. | throughout hospitalization an average of 5 days | Pulmonary complications during hospitalization |
| Hospital discharge on O2. | throughout hospitalization an average of 5 days | If a study patient is discharged on 02. |
| Changes in Inspiratory volume. | throughout hospitalization an average of 5 days | Changes (- or +) in the inspiratory volume a patient is able to achieve. |
| Change in Inspiratory volume. | throughout hospitalization an average of 5 days | Postoperative change in inspiratory volume |
| Readmission for pulmonary complication | 30 days after discharge | Readmission for pulmonary complication up to 30 days after hospital discharge |
| Time to achieve goal tidal volume. | throughout hospitalization an average of 5 days | Time in to achieve prescribed goal inspiratory tidal volume. |
| Post operative length of O2 use. | throughout hospitalization an average of 5 days | Length of time from surgery until 02 is discontinued. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Inpatient hospital length of stay | throughout hospitalization an average of 5 days | Postoperative length of stay in hospital |
| Change in SP02 | throughout hospitalization an average of 5 days | Postoperative Change in SP02 |
| Reintubation due to a respiratory diagnosis | throughout hospitalization an average of 5 days | Reintubation due to a respiratory diagnosis during hospitalization |
| ICU length of stay | throughout hospitalization an average of 5 days | Postoperative length of stay in ICU |
| Intubation due to a respiratory diagnosis | throughout hospitalization an average of 5 days | Postoperative Intubation due to a respiratory diagnosis during hospitalization |
Countries
United States