Pre-op Use of Incentive Spirometry in Obese Patients (IS)
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Purpose
The purpose of this study is to evaluate the use of preoperative incentive spirometry (IS) as an aid to improve postoperative lung function. The hypothesis is that application of a standardized protocol of preoperative respiratory care teaching and exercise will improve lung performance that will subsequently result in prevention of postoperative pulmonary complications and that increasing the duration of preoperative use better improves lung mechanics postoperatively. The investigators propose to compare a patient population that uses IS as currently prescribed in the routine course of care (only to be familiar with preoperatively, but use postoperatively) against a population that uses IS with a standardized regimen for at least 3 days prior to the operation in terms of preoperative IS volumes, intraoperative pulmonary mechanics, postoperative IS volumes, and incidence of postoperative pulmonary complications.
| Condition | Intervention |
|---|---|
|
Lung Function Bariatric Surgery |
Device: Incentive Spirometry |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | A Study on the Preoperative Use of Incentive Spirometry in Morbidly Obese Patients Undergoing General Anesthesia |
- incentive spirometry volume [ Time Frame: 1 week before surgery to the day after ] [ Designated as safety issue: No ]
- level of compliance [ Time Frame: 3 days to 2 weeks after clinic visit on the day of surgery ] [ Designated as safety issue: No ]
- oxygen saturation [ Time Frame: one week prior to surgery up to one day after ] [ Designated as safety issue: No ]
- heart rate [ Time Frame: one week prior to surgery to post operative day 1 ] [ Designated as safety issue: No ]
- respiratory rate [ Time Frame: one week prior to surgery to post operative day 1 ] [ Designated as safety issue: No ]
| Enrollment: | 50 |
| Study Start Date: | March 2009 |
| Study Completion Date: | September 2010 |
| Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
-
Device: Incentive Spirometry
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- morbid obesity
- bariatric surgery
- must be able to use incentive spirometer
Exclusion Criteria:
- BMI=<40 kg/m2
- current symptoms of obstructive sleep apnea or actively using CPAP
Contacts and Locations| United States, Texas | |
| Memorial Hermann Hospital | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Davide Cattano, M.D. | University of Texas Medical School |
More Information
No publications provided
| Responsible Party: | Davide Cattano, Associate Proffessor, The University of Texas Health Science Center, Houston |
| ClinicalTrials.gov Identifier: | NCT01004146 History of Changes |
| Other Study ID Numbers: | HSC-MS-08-0622 |
| Study First Received: | March 30, 2009 |
| Last Updated: | March 1, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by The University of Texas Health Science Center, Houston:
|
incentive spirometry bariatric surgery obesity |
ClinicalTrials.gov processed this record on May 19, 2013