The effect on arterial blood gases and heart rate of bilateral nasal packing

Öǧretmenoǧlu, Oğuz; Yılmaz, Taner; Rahimi, Keikavos; Aksöyek, Serdar

doi:10.1007/s00405-001-0422-1

Cited by 34 publications

(24 citation statements)

References 15 publications

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“…14 Studies in human beings were carried out by measuring arterial blood gases and the hypoxemia was noted in patients of septoplasty followed by nasal packing. 15,16 Similar results were also obtained in blood oxygen saturation (SpO 2 ) using pulse oximetry in patients with adenotonsillectomy and septoplasty followed by nasal packing. 17 However, contrary results are also reported in literature.…”

Section: Discussionsupporting

confidence: 54%

To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

Singh¹,

Yadav²,

Gulati³

et al. 2015

An International Journal of Otorhinolaryngology Clinics

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Objective: To study the effect of nasal packing on blood oxygen saturation. Materials and methods:Study was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO 2 ) by using digital pulse oximeter. The first reading of SpO 2 was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test.Results: A total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO 2 was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO 2 was highly significant (p < 0.001). Conclusion:The application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry.

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Section: Discussionsupporting

confidence: 54%

To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

Singh¹,

Yadav²,

Gulati³

et al. 2015

An International Journal of Otorhinolaryngology Clinics

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show abstract

“…As mouth is the only airway for a patient with nasal packs, improper swallowing of oral secretions might also cause breathing diYculty. The use of nasal packs without airways can cause a decrease in oxygen saturation and partial oxygen pressure, especially in patients with obstructive sleep apnea syndrome [12][13][14]. Regli et al suggested that all patients with nasal packs should receive postoperative oxygen supplementation in order to prevent the increase in apnea-hypopnea and oxygen desaturation indices [15].…”

Section: Discussionmentioning

confidence: 99%

Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives

Günaydın

Aygenç

Karakullukcu

et al. 2011

Eur Arch Otorhinolaryngol

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The objective of this study is to compare the nasal packing and the transseptal suturing techniques regarding the extubation difficulty evaluation scores, follow-up times in post-anaesthesia care unit (PACU), pain scores, and postoperative complications. Two hundred patients who underwent septoplasty from January 2009 to October 2009 were randomly assigned either to have nasal packs (n: 100) or transeptal sutures (n: 100). In the transseptal suture group, extubation was easier and PACU follow-up times were shorter, when compared to the nasal packing group (p < 0.001). Patients with nasal packing had significantly higher pain scores (p < 0.001). Minor bleeding was significantly higher in the transseptal group with seven cases, compared to the nasal packing group without any bleeding cases (p = 0.014). There were two patients who had postoperative major bleeding, and two patients who had septal hematoma in the transseptal suture group. One patient with nasal packing had postoperative infection. Septal perforation was not seen in any of the cases. While patients in both groups experienced postoperative crusting, patients in the transseptal suture group also complained about foreign body sensation. Extubation was more comfortable; post-anaesthesia monitorization duration was shorter, and postoperative pain was less, but minor bleeding was seen more with transseptal sutures. There was no significant difference in terms of major bleeding, hematoma, infection or perforation. Foreign body sensation was the main cause of postoperative discomfort in the transseptal suture group. Transseptal suturing might be a significantly comfortable, cost-effective and reliable alternative to nasal packing.

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“…In some studies performed using bilateral nasal packing after nasal operations, the nasal obstruction caused a significant decrease in blood O 2 saturation [15]. However, mechanical stimulation of the nasal mucosa may have introduced a bias in these studies.…”

Section: Discussionmentioning

confidence: 99%

Response of nasal airway and heart rate variability to controlled nasal breathing

Fan

Lee

et al. 2010

Eur Arch Otorhinolaryngol

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To investigate the responses of nasal airway and autonomic nervous system (ANS) under controlled nasal breathings. Ten healthy volunteers, aged between 21 and 37 years, were enrolled. The participants breathed either through bilateral nostrils (BNB) or unilaterally through the left nostril (UNB) at 0.25 Hz for 5 min. The electrocardiography was simultaneously recorded and the ANS activities were evaluated using heart rate variability analysis. Nasal airway resistance and related factors were measured by rhinomanometry. The results showed that the mean heartbeat interval during UNB was significantly greater than during BNB. The sympathetic modulation decreased significantly during UNB. The correlations between nasal airway resistance and mean heartbeat interval were significant for both UNB and BNB. The increase of heartbeat intervals during UNB was associated with the decrease of cardiac sympathetic activities. The changes of ANS activities and nasal airway resistance during UNB are similar to the changes caused by a prolonged lying.

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The effect on arterial blood gases and heart rate of bilateral nasal packing

Cited by 34 publications

References 15 publications

To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

Nasal packing and transseptal suturing techniques: surgical and anaesthetic perspectives

Response of nasal airway and heart rate variability to controlled nasal breathing

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