Positioning of Surgical Patients With Sleep Apnea
| Status: | Withdrawn |
|---|---|
| Conditions: | Insomnia Sleep Studies, Pulmonary, Pulmonary |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 80 |
| Updated: | 4/21/2016 |
| Start Date: | April 2014 |
| End Date: | December 2015 |
Non-Supine Positioning in Treatment of Surgical Patients With Obstructive Sleep Apnea
The study aims to evaluate the effect of non-supine positioning in the treatment of surgical
patients with obstructive sleep apnea. The hypothesis is that non-supine positioning will
result in a decrease in acute hypoxic events, defined as the number of apneas/hypopneas per
hour of sleep.
patients with obstructive sleep apnea. The hypothesis is that non-supine positioning will
result in a decrease in acute hypoxic events, defined as the number of apneas/hypopneas per
hour of sleep.
This is a prospective, randomized controlled trial that will comprise of two stages. Stage 1
is a pilot study of 30 patients at high risk or diagnosed with obstructive sleep apnea who
are scheduled for routine surgery. These patients will be randomized 1:1:1 to standard of
care (0 degree bed angle), 30 degree bed angle, or 60 degree bed angle. Acute hypoxic events
will be analyzed pre and post-op in the randomly assigned bed position. PACU nurses will
also be surveyed for patient-favored non-supine positioning (30 vs. 60 degrees). Stage 2
will be a larger, powered trial to evaluate the efficacy of just one bed angle (30 or 60
degrees) based on the Stage 1 results.
is a pilot study of 30 patients at high risk or diagnosed with obstructive sleep apnea who
are scheduled for routine surgery. These patients will be randomized 1:1:1 to standard of
care (0 degree bed angle), 30 degree bed angle, or 60 degree bed angle. Acute hypoxic events
will be analyzed pre and post-op in the randomly assigned bed position. PACU nurses will
also be surveyed for patient-favored non-supine positioning (30 vs. 60 degrees). Stage 2
will be a larger, powered trial to evaluate the efficacy of just one bed angle (30 or 60
degrees) based on the Stage 1 results.
Inclusion Criteria:
- Minimum 1 night postoperative hospital stay
- More than 18 and less than 80 years old
- Identified as high risk of OSA (SACS > 15) or a history of OSA without CPAP treatment
Exclusion Criteria:
- Unwilling or unable to give informed consent
- Undergoing nasal, eye, head/neck surgery, intracranial or cardiac/thoracic surgery
- Currently undergoing treatment for sleep apnea including CPAP
- Requiring prolonged postoperative ventilation
- NYHA functional class III and IV
- Valvular heart disease, dilated cardiomyopathy, implanted cardiac pacemaker, or
unstable angina
- Myocardial infarction or cardiac surgery within 3 months
- Chronic obstructive pulmonary disease, or asthma
- Presence of tracheostomy, facial, neck, or chest wall abnormalities
- Abdominal aortic aneurysm surgery, chemotherapy, or immunosuppressive therapy within
3 months
- Visiting preoperative clinic less than 3 days before surgery
- Requiring postoperative nasogastric tube
We found this trial at
1
site
Englewood Hospital and Medical Center Englewood Hospital was incorporated in 1888 as a non-profit, non-sectarian...
Click here to add this to my saved trials
