[Avoiding hypoxemia during anesthesia]. 1983

D N Mihic, and E Binkert

The incidence of unexpected hypoxaemia during general anaesthesia was studied in 230 healthy patients undergoing a peripheral surgical procedure. Measurements of arterial oxygen and carbon dioxide tension (paO2 and paCO2) were performed under rigorously controlled conditions in regard to the age of the patients, their smoking habits, course and type of the anaesthetic and surgery, body position, inspiratory fraction of oxygen (FiO2), expiratory fraction of carbon dioxide (FECO2), respiratory minute volume and inspiratory to expiratory time ratio. 10% of the patients receiving FiO2 of 0.33 and 3.3% of those receiving 0.40 were found to have a paO2 below 80 mm Hg. 25% respect. 0% of older (greater than 60) and 6.7% respect. 4.4% of younger patients (less than 60 years) receiving FiO2 of 0.33 respect. 0.40 were hypoxemic (paO2 less than 80 mm Hg). These figures were compared with the results of an inquiry of practicing anaesthesiologists (in USA, West Germany and Switzerland) and their opinions about the safe FiO2 and paO2 limits. Most of the respondents use under the described conditions of this study an FiO2 of 0.33. At the same time 96% of them expect a paO2 over 80 mm Hg. On the basis of 10% incidence of hypoxaemic values among the patients studied it was concluded that FiO2 of 0.33 can not be considered as safe: increasing FiO2 to 0.40 helps to decrease the incidence of unexpected hypoxaemia especially in the patients over 40 years old.

UI MeSH Term Description Entries
D007430 Intraoperative Care Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests. Care, Intraoperative
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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