Implementation of an Obstructive Sleep Apnea Protocol in the Postanesthesia Care Unit for Patients Undergoing Spinal Fusion Surgery

Terren C. Wortham, Andi N. Rice, Dhanesh K. Gupta, Victoria Goode

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)739-748
Number of pages10
JournalJournal of Perianesthesia Nursing
Volume34
Issue number4
DOIs
StatePublished - Aug 2019

Keywords

  • PACU
  • STOP-Bang questionnaire
  • obstructive sleep apnea
  • spinal fusion surgery

ASJC Scopus subject areas

  • Medical–Surgical

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