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 language | English (US) |
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Pages (from-to) | 739-748 |
Number of pages | 10 |
Journal | Journal of Perianesthesia Nursing |
Volume | 34 |
Issue number | 4 |
DOIs | |
State | Published - Aug 2019 |
Externally published | Yes |
Keywords
- PACU
- STOP-Bang questionnaire
- obstructive sleep apnea
- spinal fusion surgery
ASJC Scopus subject areas
- Medical–Surgical