Investigating the Prevalence of Oxygen Desaturation in Post-Anesthesia Care Unit and Preoperative Predicting Factors

Document Type : Original Article (s)

Authors

1 Professor, Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: We aimed to investigate preoperative factors tend to decrease in oxygen saturation in post-anesthesia care unit (PACU).Methods: This observational study evaluated 500 patients before operation for age, gender, weight, neck circumference, smoking, addiction, underlying diseases, hemoglobin level, vital signs, and oxygen saturation. After operation, patients were divided into two groups of those experienced oxygen desaturation and those did not experience this situation. All above-mentioned variables were compared between the two groups.Findings: The prevalence of patients with oxygen desaturation was 10%; while 89% did not experience this condition and 1% was unkown for oxygen saturation. There were significant differences between the two groups in age (P = 0.004), weight (P = 0.024), neck circumference (P = 0.002), systolic blood pressure (P = 0.026), peripheral and central temperature (P = 0.037), smoking (P = 0.004), diabetes (P = 0.030), hypertension (P = 0.006), respiratory disease (P = 0.020), and preoperative oxygen saturation (P = 0.037).Conclusion: By evaluating predictive factors, oxygen desaturation can be predictable. We can improve respiratory complications in post-anesthesia care unit by controlling and monitoring these factors.

Keywords

References

  1. Miller R, Manuel P. Basics of anesthesia. 6th ed. Philadelphia, PA: Saunders; 2011. p. 817.
  2. Sear JW. Oxygen: Needed for life. But do we need supplemental oxygen during transfer from the OR to the PACU? J Clin Anesth 2013; 25(8): 609-11.
  3. Hedenstierna G. Oxygen and anesthesia: What lung do we deliver to the post-operative ward? Acta Anaesthesiol Scand 2012; 56(6): 675-85.
  4. Scott B. Airway management in post anaesthetic care. J Perioper Pract 2012; 22(4): 135-8.
  5. Aust H, Eberhart LH, Kranke P, Arndt C, Bleimuller C, Zoremba M, et al. Hypoxemia after general anesthesia. Anaesthesist 2012; 61(4): 299-309. [In German].
  6. Siddiqui N, Arzola C, Teresi J, Fox G, Guerina L, Friedman Z. Predictors of desaturation in the postoperative anesthesia care unit: an observational study. J Clin Anesth 2013; 25(8): 612-7.
  7. Pereira H, Xara D, Mendonca J, Santos A, Abelha FJ. Patients with a high risk for obstructive sleep apnea syndrome: Postoperative respiratory complications. Rev Port Pneumol 2013; 19(4): 144-51.
  8. Simsek E, Karaman Y, Gonullu M, Tekgul Z, Cakmak M. The effect of passive exposure to tobacco smoke on perioperative respiratory complications and the duration of recovery. Braz J Anesthesiol 2016; 66(5): 492-8.
  9. Seyidov TH, Elemen L, Solak M, Tugay M, Toker K. Passive smoke exposure is associated with perioperative adverse effects in children. J Clin Anesth 2011; 23(1): 47-52.
  10. Skolnick ET, Vomvolakis MA, Buck KA, Mannino SF, Sun LS. Exposure to environmental tobacco smoke and the risk of adverse respiratory events in children receiving general anesthesia. Anesthesiology 1998; 88(5): 1144-53.
  11. Daley MD, Norman PH, Colmenares ME, Sandler AN. Hypoxaemia in adults in the post-anaesthesia care unit. Can J Anaesth 1991; 38(6): 740-6.
  12. Labaste F, Silva S, Serin-Moulin L, Lefevre E, Georges B, Conil JM, et al. Predictors of desaturation during patient transport to the postoperative anesthesia care unit: an observational study. J Clin Anesth 2016; 35: 210-4.
Journal of Isfahan Medical School
Volume 35, Issue 439 - Serial Number 439
May and June 2017
Pages 876-882

Files

History

  • Receive Date: 03 June 2017
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics