Implementation of an Obstructive Sleep Apnea Protocol in the Postanesthesia Care Unit for Patients Undergoing Spinal Fusion Surgery.
Journal Article (Journal Article)
PURPOSE: The purpose of this project was to implement and evaluate the effectiveness of a postanesthesia care unit (PACU) obstructive sleep apnea (OSA) protocol in patients undergoing spinal fusion surgery. DESIGN: The structure of this project was a preimplementation and postimplementation design. METHODS: A convenience sample of 63 patients admitted to the PACU after spinal fusion surgery, with diagnosed or high-risk OSA, was included in protocol implementation. FINDINGS: The prevalence of diagnosed and high-risk OSA at the project implementation site totaled 74% in the spinal fusion population. The incidence of oxygen desaturations was 41% in the preimplementation group and 35% in the postimplementation group. The PACU to intensive care unit transfers were 10% in the preimplementation group and 3% in the postimplementation group. CONCLUSIONS: Protocols for surgical patients with OSA require further examination but may function as a guide for postoperative nursing care.
Full Text
Duke Authors
Cited Authors
- Wortham, TC; Rice, AN; Gupta, DK; Goode, V
Published Date
- August 2019
Published In
Volume / Issue
- 34 / 4
Start / End Page
- 739 - 748
PubMed ID
- 30827791
Electronic International Standard Serial Number (EISSN)
- 1532-8473
Digital Object Identifier (DOI)
- 10.1016/j.jopan.2018.10.008
Language
- eng
Conference Location
- United States