The Comparison of Pulse Oximetry, End-tidal Capnometry, and Integrated Pulmonary Index (IPI)
The Comparison of Pulse Oximetry, End-tidal Capnometry, and Integrated Pulmonary Index (IPI)
To compare two ways to test breathing after surgery in acute care setting. One method tests
 oxygen level of the blood, and one method will test oxygen and the carbon dioxide that is
 breathed out.
A simple comparison design will be used to compare pulse SpO2 monitoring of respiratory
 status to a combination of pulse SpO2 monitoring and EtCO2 nasal cannula monitoring with
 Integrated Pulmonary Index (IPI). Using combination monitor, each subject will serve as their
 own control with repeated measurements of respiratory rate, SpO2, EtCO2 and IPI at 5 second
 intervals. Patients will be monitored for a minimum of 8 hours after admission to the acute
 care unit and through the first night.

 Subjects for this study will be a convenience sample post-operative in-patients admitted to 2
 East after surgery at Allenmore Hospital/Multicare Health System a 75 bed community facility.
Inclusion criteria:

 -  Age greater than 18

 -  Increased Body Mass Index (BMI) > 31

 -  History of chronic obstructive pulmonary disease (COPD)

 -  History of Sleep Apnea

 Exclusion criteria:

 -  Respiratory failure

 -  Isolation requirements

 -  Surgical patients admitted to 2 West or ICU