Hypoxia in Children Following General Anaesthesia

Tomkins, D.; Gaukroger, P B; Bentley, M.

doi:10.1097/00132586-198904000-00038

Cited by 2 publications

(7 citation statements)

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“…In this study, the number of children in the caudal group who developed adverse upper airway events and/or early postoperative hypoxemia in the OR, or who required oxygen during transport to PACU or during their recovery in PACU was significantly fewer than those in the fentanyl group. Older studies (1–3), contrary to our study, did not demonstrate a correlation between opioid use and early postoperative hypoxemia. This could have been because of the use of halothane with its higher blood solubility.…”

Section: Discussioncontrasting

confidence: 99%

“…A previous study showed there was a significant increase in SaO 2 in patients who were awake, compared to those who remained asleep (3). Other investigators were unable to find any significant correlation between early postoperative hypoxia and the degree of recovery in children (1,12).…”

Section: Discussionmentioning

confidence: 91%

“…Even so, one child desaturated and required oxygen during transport, and two children required oxygen in the PACU. Previous studies demonstrated in children that clinical signs, including color, poorly reflect the presence of hypoxemia (1). Our cutoff to administer oxygen in this study was SaO 2 <95%, which is our PACU nurses’ standard of care.…”

Section: Discussionmentioning

confidence: 99%

“…induction, and duration of anesthesia were all associated with an increased incidence of early postoperative hypoxemia. However, there was no significant correlation with age, weight, procedure, time to awakening, or the use of opioids (1). A second study (2) demonstrated that age, type of anesthetic, the use or avoidance of opioids, and the use of controlled or spontaneous respiration had no significant relation to the incidence of early postoperative hypoxemia.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Presurgical fentanyl vs caudal block and the incidence of adverse respiratory events in children after orchidopexy

Khalil

Matuszczak

Maposa

et al. 2009

Pediatric Anesthesia

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Presurgical fentanyl vs caudal block and the incidence of adverse respiratory events in children after orchidopexy

Khalil

Matuszczak

Maposa

et al. 2009

Pediatric Anesthesia

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show abstract

“…In people, episodes of arterial oxygen desaturation commonly occur in the early postoperative period, may persist for several days (Tomkins et al . 1988; Rose et al . 1994; Sun et al .…”

Section: Introductionmentioning

confidence: 99%

Comparison of CPAP and oxygen therapy for treatment of postoperative hypoxaemia in dogs

Stabile

Lacitignola

Piemontese

et al. 2021

J of Small Animal Practice

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Objective To compare 5 cmH2O of continuous positive airway pressure with oxygen therapy in dogs recovering from general anaesthesia with low SpO2 values. continuous positive airway pressure is more effective than oxygen therapy in restoring normoxaemia (SpO2≥95%). Materials and Methods Prospectively, dogs recovering from anaesthesia, with SpO2<95% after extubation (T0), were randomised and treated with continuous positive airway pressure (FiO2 0.21) or oxygen (O2; FiO2 0.35‐0.40) therapy. Dogs were monitored with SpO2 every 15 minutes for 1 hour (T15, T30, T45, T60). Data from normoxaemic dogs (SpO2>95%) were used as control (CTR). Results Of the 42 dogs enrolled, 34 completed the study. Eleven dogs were treated with O2, 10 with continuous positive airway pressure and 13 were CTR. The SpO2 values at T0 were similar in the continuous positive airway pressure and O2 groups and were lower than in the CTR group. At T15, T30, T45 and T60, the SpO2 values in the continuous positive airway pressure group were higher than at T0; these were similar to those of the CTR group at the same time‐points. In the O2 group, SpO2 values were significantly higher at T45 and T60 than at T0; 45.5% of dogs became normoxaemic at T45 and the remaining dogs became normoxaemic at T60. The average time to reach normoxaemia in the O2 group (53.1±7.3 minutes) was longer than in the continuous positive airway pressure group (15.0±0.0 minutes). Clinical Significance In dogs recovering from general anaesthesia with pulmonary gas exchange impairment, normoxaemia is restored more effectively and rapidly by using continuous positive airway pressure than by oxygen therapy.

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Hypoxia in Children Following General Anaesthesia

Cited by 2 publications

References 0 publications

Presurgical fentanyl vs caudal block and the incidence of adverse respiratory events in children after orchidopexy

Presurgical fentanyl vs caudal block and the incidence of adverse respiratory events in children after orchidopexy

Comparison of CPAP and oxygen therapy for treatment of postoperative hypoxaemia in dogs

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