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Management of early postoperative hypoxemia : a comparative performance of Hudson face mask with nasal prongs
Joint Authors
Adetunji, Sulayman A.
Adekola, Oyebola O.
Desalu, Ibironke
Kushimo, Olushola T.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 10, Issue 1 (31 Mar. 2017), pp.84-90, 7 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2017-03-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction Early postoperative hypoxemia may occur when patients breathe room air during their initial recovery period.
Prolonged hypoxemia can result in delirium, dysrhythmia, and cardiac arrest.
Aim The aim of the present study was to compare the performance of face mask compared with that of the nasal prong in the management of early postoperative hypoxemia.
Patients and methods All procedures were performed using standard anesthetic and surgical techniques modified to the specific procedures.
All patients had peripheral oxygen saturation (SpO2) at least 97% before being transferred to the recovery room.
On arrival to the recovery room, 120 patients whose SpO2 decreased up to 94% were randomly allocated to either the face mask or nasal prong groups.
They were commenced on oxygen therapy at 4 l/min through either device.
A modified visual analogues scale was used to evaluate the level of comfort during oxygen therapy.
Results Early postoperative hypoxia occurred in 18.1%.
The increase in oxygen saturation after commencement of oxygen therapy was significantly faster with nasal prongs (0.63±1.42 min) than with face mask (1.78±1.10 min) (P=0.001).
The maximum SpO2 obtained was significantly higher with nasal prongs (98.77±1.29%) than with face mask (97.63±1.89%) (P<0.001).
There was no significant association found between early postoperative hypoxemia and site or duration of surgery, as well as the volume of intravenous fluid (crystalloids) administered intraoperatively (P>0.05).
Nasal prongs (91.7%) were significantly more comfortable compared with face mask (61.7%) (P=0.001).
We have demonstrated that the use of nasal prongs was more efficient and comfortable compared with face mask in the management of early postoperative hypoxemia.
American Psychological Association (APA)
Adetunji, Sulayman A.& Adekola, Oyebola O.& Desalu, Ibironke& Kushimo, Olushola T.. 2017. Management of early postoperative hypoxemia : a comparative performance of Hudson face mask with nasal prongs. Ain Shams Journal of Anesthesiology،Vol. 10, no. 1, pp.84-90.
https://search.emarefa.net/detail/BIM-841308
Modern Language Association (MLA)
Adetunji, Sulayman A.…[et al.]. Management of early postoperative hypoxemia : a comparative performance of Hudson face mask with nasal prongs. Ain Shams Journal of Anesthesiology Vol. 10, no. 1 (Mar. 2017), pp.84-90.
https://search.emarefa.net/detail/BIM-841308
American Medical Association (AMA)
Adetunji, Sulayman A.& Adekola, Oyebola O.& Desalu, Ibironke& Kushimo, Olushola T.. Management of early postoperative hypoxemia : a comparative performance of Hudson face mask with nasal prongs. Ain Shams Journal of Anesthesiology. 2017. Vol. 10, no. 1, pp.84-90.
https://search.emarefa.net/detail/BIM-841308
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 90
Record ID
BIM-841308