Open Journal Systems

Open Access Open Access  Restricted Access Subscription Access

3 Minutes Tidal Breathing – A Gold Standard Technique Of Pre-Oxygenation For Elective Surgeries.

Dr. Minati Pandey., Dr. Rajesh Ursekar, Dr. Shubhada Aphale

crossmark logo side by side horizontal

DOI: http://dx.doi.org/10.15520/ijmhs.2014.vol4.iss6.29.194-197

Abstract


Pre-oxygenation is a time honoured ritual carried out in a variety of circumstances. Various methods of pre-oxygenation have been proposed and followed world wide with vaviable success. The purpose of this study was to evaluate the need for pre-oxygenation prior to the induction of general anaesthesia and also compare the effects of two techniques of pre-oxygenation, on peripheral oxygen saturation.

 Hundred ASA grade I and II patients in the age group of 20 – 40 years were studied under two equal groups. Group I received pre-oxygenation for three minutes and in Group II patients were assigned for four maximal breaths pre-oxygenation techniques. The lengths of time interval of apnoeic period i.e; the time taken for oxygen saturation to decrease to 90% level on pulse oximeter were compared using unpaired ‘t’ test.

 In our study, after comparing the times for desaturation to oxygen saturation level of 90% during apnoea in both the methods, it was found that the mean time to desaturation in four maximal breaths method was 110.40 ± 30.27 seconds. The mean time to desaturation the three minutes method was 281.70 ± 18 seconds.The difference between the two methods was significant statistically. ( P less than 0.05 ).

Pre-oxygenation for three minutes prior to induction of general anaesthesia with normal breathing is an effective and safe method of pre-oxygenation. 


Keywords


Pre-oxygenation, maximal breaths, apnoeic period, oxygen saturation.

Full Text:

PDF

References


REFERENCES:

K. Hamilton, Douglas W. Eastwood. A study of denitrogenation with some inhalational anaesthetic system. Anaesthesiology 1955; 16: 801-7.

Dillon JB, Darsie ML. Oxygen for acute respiratory depression due to administration of thiopental sodium. JAMA 1955; 159: 1114-6.

Archer GW, Marx GF. Arterial oxygen tension during apnoea in parturient women. BJA 1974; 46: 358-60.

Eug. M, Butler J, Banica JJ. Respiratory function in pregnant obese women. Am J Obstet Gynecol 1975; 123: 241-5.

Grace R.Baldin, Doraswamy Saroja Moorthi, Rinneth F, Mac. Donnell. New lung William functions in pregnancy. Am J Obstet Gynecol 1977; 127: 235-9.

Gold MI, Durate I, Murravchick. Arterial oxygenation in conscious patient after 5 minutes and after 30 seconds of oxygen breathing. Anesth Analg 1981; 60: 313-5.

Martin I, Ford and Stenly Murravchick. Arterial oxygenation during laryngoscopy and intubation. Anesth Analg 1981; 60: 316-8.

Berthoud Mirielle, DH Read and J. Norman. Pre-oxygenation- how long? Anesth Analg 1983; 38: 96-102.

Drummond GB, Park GR. Arterial oxygen saturation before intubation of trachea. An assessment of oxygenation technique. BJA 1984; 56: 987-92.

Mark C Norris and David M Dewan. Pre-oxygenation for caesarean section: A comparison of two techniques. Anesthesiology 1985; 62: 827-9.

A. Mark, Gambee, Robert E, Hertzke and Dennis, M. Fisher. Pre-oxygenation techniques: comparison of three minutes and four breaths. Anesth Analg 1987; 68: 468-70.

Russell GN, Smith CL, Snowedon SL, Bryson THC. Pre-oxygenation and the parturient patients. Anesthesiology 1987; 42: 346-51.

FJ Carmichael, JE Crusie, RR Crage and S Paluck. Pre-oxygenation: A study of denitrogenation. Anesth Analg 1989; 68: 406-9.

Valentine SJ, Marjot R. Pre - oxygenation in the elderly: A comparison of four maximal breaths and three minutes techniques. Anesth Analg 1990; 71: 516-9.

W. Mc. Crory and JNS Mathews. Comparsion of four methods of pre-oxygenation. BJA 1990; 64: 571-6.

Mc Carthy G, Elliot P. A comparison of different pre-oxygenation techniques in the elderly. Anesthesia 1990; 46: 824-7.

MC Berthoud, JE Peacock and CS Reilly. Effectiveness of pre-oxygenation in morbidly obese patients. BJA 1991; 67: 464-6.

Baraka Anis, S Taha, Samark, Aaouad Marie, EI Khalib, Mohamad F. Pre-oxygenation: comparison of maximal breathing and tidal volume breathing. Anesthesiology 1999; 91: 612-20.

Anis Baraka, Sanie Haraun Bizzo, Samar Khoury, Imad Rachid Chehab. Single vital capacity breath for pre-oxygenation. CJA 2000; 47: 1144-6.

Ushrani Nimmagadda, Suvarchala D Chiravuri, M Ramez Salem, Ninos J Joseph, Yaser Wafai, George J crystal, Mohammad I, EI Orbany. Pre-oxygenation with tidal volume and deep breathing technique: The impact of duration of breathing and fresh gas flow. Anesth Analg 2001; 92(5):1337-41.

Anis Baraka, Samar k Taha, Mohammad F, EI Khabib, Faraj m massouh, Dima G Jabbour, Mohmoud M,. Oxygenation using tidal volume breathing after maximal exhalation. Anesth Analg 2003; 97: 1533-5.

B Chiron, M Laffona, M ferrandierra. JF Pittetb, H marrate, C Marciera. Standard pre-oxygenation technique versus two rapid technique in pregnant patients. Int J Obstet Anesth 2004; 13(1): 11-4.

Dr Balwinderjit Singh, Dr Lalita, Afzal, Dr Balwinderjit Kaur, Dr Narjeet kaur. Comparison of pre-oxygenation by maximal breathing and tidal volume breathing techniques. IJA 2006; 50(3): 209-14.

Ushrani Nimmagadda, Ramiz Salam, Ninos J Joseph. Efficacy of pre-oxygenation using tidal volume and deep breathing technique with and without prior maximal exhalation. CJA 2007; 54: 448-54

Alireza Ebrahim, Soltani, Mir Sadigh Seyedi, et al. Comparison between four method of pre-oxygenation in paediatric patients. Journal of Iranian Society Anaesthesiology and Intensive Care, 2009; 30: 38-44.

J Khandrani, A Modah, B pachpande. Study of effects of varying duration of pre-oxygenation. Internet journal of anaesthesiology. 2009, vol-20. doi: 10.5580/264

Prashant R Ginimuge, Ranjan RK, Ambarasha M. Pre-oxygenation: Comparison of three techniques. Anesthesia. 2009; 25: 436-8.

Tomasz Gaszyński. Pre-oxygenation in morbidly obese patients. Anestezjol Intens Ter 2010; 42(3):133-6.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.