Effect of Incentive Spirometry on Post Operative Pulmonary Complications after Bariatric Surgery

A Cross Sectional Study in Hospital Setting.

Abstract

Objective: The main objective of this research was to check the efficacy of Incentive spirometer on pulmonary complication after bariatric surgery.

Study Design: Descriptive cross-sectional study.

Place and Duration of study : The study was conducted in Superior University for duration of 4 months.

Material and Methods: Data was collected from 140 bariatric patients at Shalamar Hospital, Lahore, selected via convenient sampling. Adults with a BMI >25, both with and without postoperative pulmonary complications, were included. Data was gathered via questionnaires and analyzed using SPSS 26.0 and Med Calc 14.0. Ethical approval and informed consent were obtained

Results: Non-smokers showed the highest efficacy with 3-ball spirometry (50.43%), while smokers had the lowest. Pulmonary complications, improved efficacy with  3-ball spirometry (34.29%). Patients with normal oxygen levels (46.43%) and no respiratory support (56.83%) performed best. Hypoxic patients showed moderate efficacy, while those without complications had higher efficacy. All differences were statistically significant (p ≤ 0.05).

Conclusion: Incentive spirometry, particularly 3-ball spirometry, was most effective in reducing postoperative pulmonary complications in bariatric surgery patients, especially for non-smokers and those with normal oxygen levels and no significant respiratory issues.

KeyWords: Incentive spirometry, Pulmonary complications, Bariatric surgery, Postoperative complications,