当前位置： SCI文献检索 > Revista Brasileira de Anestesiologia期刊下所有文献 > [Transportation of patients to the post-anesthetic recovery room without supplemental oxygen: repercutions on oxygen saturation and risk factors associated with hypoxemia.].

[Transportation of patients to the post-anesthetic recovery room without supplemental oxygen: repercutions on oxygen saturation and risk factors associated with hypoxemia.].

Abstract：

BACKGROUND AND OBJECTIVES:The transportation of patients from the operating room to the post-anesthetic recovery room without supplemental oxygen is a common practice, since oxygen supplementation is used only in patients at high risk of developing hypoxemia. The objective of this study was to evaluate the incidence of changes in oxygen saturation during this transportation and to identify the risk factors associated to the development of hypoxemia. METHODS:A cohort of 882 patients of both genders, physical status ASA I, II, and III, who underwent elective surgeries of several subspecialties using four different anesthetic techniques, was evaluated. Oxygen saturation was measured and recorded just before the patients left the operating room and as soon as they arrived in the recovery room. RESULTS:There was a greater incidence of moderate to severe hypoxia during the transport of female patients (14.47%), patients with physical status ASA II and III (14.74% and 16.46%, respectively), and those who underwent cardiothoracic (28.21%), gastroproctologic (14.18%), and head and neck (18.18%) surgeries. Among the anesthetic techniques used, general anesthesia was a risk factor associated with the development of hypoxia. CONCLUSIONS:There are factors associated with the development of hypoxia during the transportation of patients from the operating room to the post-anesthetic recovery room. The selective use of supplemental oxygen should be guided by the presence of those risk factors or by the use of a pulse oxymeter, in order to reduce the morbidity, mortality, and the incidence of hypoxemia early in the post-operatory period.

journal_name

Rev Bras Anestesiol

journal_title

Revista brasileira de anestesiologia

authors

Marcondes G,Soeiro FS,Ferreira Ede A,Udelsmann A

doi

10.1590/s0034-70942006000400003

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

352-61

issue

eissn

0034-7094

issn

1806-907X

pii

S0034-70942006000400003

journal_volume

pub_type

杂志文章

在线工具

[Transportation of patients to the post-anesthetic recovery room without supplemental oxygen: repercutions on oxygen saturation and risk factors associated with hypoxemia.].