A COMPARISON OF DIFFERENT PRE-OXYGENATION TECHNIQUES IN THE ELDERLY

被引:31
作者
MCCARTHY, G [1 ]
ELLIOTT, P [1 ]
MIRAKHUR, RK [1 ]
MCLOUGHLIN, C [1 ]
机构
[1] ROYAL VICTORIA HOSP,BELFAST BT12 6BA,NORTH IRELAND
关键词
ANESTHESIA; PRE-OXYGENATION; INDUCTION; RAPID SEQUENCE;
D O I
10.1111/j.1365-2044.1991.tb09593.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The efficacy of five different techniques of pre‐oxygenation before a modified rapid intubation sequence was assessed, using oxygen saturation measurement, in patients aged over 65 years. Twenty patients in each group were pre‐oxygenated using four deep breaths or normal tidal breathing for 1, 2, 3, or 4 minutes. The acceptable period of apnoea was defined as the time taken to desaturate to 93%. The mean times (SD) taken to reach this end‐point were 3.7 (1.6), 4.1 (1.2), 5.4 (1.7), 5.4 (1.4) and 5.2 (1.7) minutes respectively. The apnoea times with 2, 3 and 4 minutes pre‐oxygenation were not significantly different from each other but were significantly longer than after four deep breaths and 1 minute. It is concluded that a pre‐oxygenation period of at least 2 minutes should be employed in the elderly before a rapid sequence induction. Copyright © 1991, Wiley Blackwell. All rights reserved
引用
收藏
页码:824 / 827
页数:4
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