scholarly journals Effect of Semi-Recumbent Position on Blood Oxygen Saturation in Postanesthetic Patients After Laparoscopic Cholecystectomy

2018 ◽  
Vol 12 (3) ◽  
pp. 82-85
Author(s):  
Xiaoling Chen ◽  
Yuelan Qin ◽  
Fanghua Gong

BackgroundUndergoing general anesthesia and pneumoperitoneum could affect the lung function and comprise oxygenation in laparoscopic cholecystectomy patients. Position of patients after surgery may affect lung function of these patients.AimTo observe the effect of semi-recumbent position on blood oxygen saturation (SpO2) in postanesthetic patients after laparoscopic cholecystectomy.MethodsA number of 225 patients who admitted to postanesthetic care unit after laparoscopic cholecystectomy from September 2016 to May 2017 were randomly assigned into the intervention group and the control group. The intervention group adopted a semi-recumbent position with head bed elevation by 10 to 20°, while the control received a supine position without lying on a pillow. Both groups received routine postanesthesia care. Data on SpO2 before and after extubation were collected. Independent t-test was used for data analysis.ResultsThere was no vomiting and cough reactions before and after extubation in both groups. Intervention group reported a significantly higher level of SpO2 at 1 minute and 30 minutes after extubation, compared to the control group (both ps < 0.05).ConclusionSemi-recumbent position with the head bed elevation could significantly increase the SpO2 level of postanesthetic patients, thus ensuring the safety of patients when removing the endotracheal tube.

2007 ◽  
Vol 31 (3) ◽  
pp. 270-278 ◽  
Author(s):  
David S. Weigle ◽  
Amelia Buben ◽  
Caitlin C. Burke ◽  
Nels D. Carroll ◽  
Brett M. Cook ◽  
...  

In this article, an experiential learning activity is described in which 19 university undergraduates made experimental observations on each other to explore physiological adaptations to high altitude. Following 2 wk of didactic sessions and baseline data collection at sea level, the group ascended to a research station at 12,500-ft elevation. Here, teams of three to four students measured the maximal rate of oxygen uptake, cognitive function, hand and foot volume changes, reticulocyte count and hematocrit, urinary pH and 24-h urine volume, athletic performance, and nocturnal blood oxygen saturation. Their data allowed the students to quantify the effect of altitude on the oxygen cascade and to demonstrate the following altitude-related changes: 1) impaired performance on selected cognitive function tests, 2) mild peripheral edema, 3) rapid reticulocytosis, 4) urinary alkalinization and diuresis, 5) impaired aerobic but not anaerobic exercise performance, 6) inverse relationship between blood oxygen saturation and resting heart rate, and 7) regular periodic nocturnal oxygen desaturation events accompanied by heart rate accelerations. The students learned and applied basic statistical techniques to analyze their data, and each team summarized its results in the format of a scientific paper. The students were uniformly enthusiastic about the use of self-directed experimentation to explore the physiology of altitude adaptation and felt that they learned more from this course format than a control group of students felt that they learned from a physiology course taught by the same instructor in the standard classroom/laboratory format.


2021 ◽  
Vol 11 (4) ◽  
pp. 55-61
Author(s):  
Rajesh Prabhakar Gaikwad ◽  
Akshaya Bhupesh Banodkar ◽  
Vaibhavi Pandurang Nandgaonkar

Background: Outbreak of novel corona virus has led World Health Organization (WHO) to come up with healthcare guidelines which includes wearing of N95 mask. The aim of this study was to evaluate whether blood oxygen saturation level is affected by wearing of N95 mask for the duration of 4 hours. Materials and Methods: A total of 90 exam going students were included in this study, who were instructed to wear N95 mask. Blood oxygen saturation level (SpO2) was checked both before and after wearing of N95 mask for a period of 4 hours. Results: It was observed that, before wearing N95 mask at 9 am, SpO2 values were 96.64±0.196 while at 1 pm after removing N95 mask, the saturation values were 95.68±0.235 (p=0.000) among all the students. There was a statistically highly significant difference seen for the values between the time intervals (p<0.01) with higher values at 9 am and lesser at 1pm. On comparing the SpO2 levels among males and females, a statistically nonsignificant difference was seen. Thus, reduction in blood oxygen saturation level can be a major parameter to evaluate the respiratory consequences of N95 mask. Conclusion: Various adverse effects of N95 mask were quoted in literature but respiratory consequences due to reduction in blood oxygen saturation level can be harmful. Thus, to avoid such consequences, precautionary measures are advised to be taken. Key words: N95 mask, SpO2, Blood oxygen saturation, COVID-19.


2021 ◽  
Vol 11 (4) ◽  
pp. 77-78
Author(s):  
Boleslav Levitan ◽  
Vsevolod Skvortsov ◽  
Тatiana Kasyanova ◽  
Maksim Vozniuk

This research aims to study levels of fetal hemoglobin and blood oxygen saturation in 264 patients with chronic diffuse liver diseases, among them 69 patients with chronic hepatitis and 195 patients with liver cirrhosis. To determine the levels of fetal hemoglobin, a patented method of rocket electrophoresis in agar gel with sodium dodecyl sulfate was used. The level of fetal hemoglobin in liver cirrhosis were significantly increased compared to chronic hepatitis, and, in both cases, compared with the control group. Oxygen saturation of the blood was reduced mainly in liver cirrhosis. In patients with liver cirrhosis a relationship between fetal hemoglobin and oxygen saturation was established. Our study helps in the early diagnosis of latent chronic hypoxia and hypoxemia in patients with liver disease. This allows to assess disease severity and adjust the treatment


2020 ◽  
Vol 20 (5) ◽  
pp. 364-366
Author(s):  
Weijian ZHOU ◽  
◽  
Pengju BAO ◽  
Wenjun GUO ◽  
Ting HONG ◽  
...  

Objective: To explore the feasibility of the morphine-induced rat pica model by tail vein injection to replace the vomiting model,and the effective dose of morphine with less severe complications when the model was developed.Methods: Fifty SD rats were randomly divided into the blank control group and the M1,M2,M3 and M4 groups,each consisting of 10 animals. The rats in the blank control group were injected with 10 ml/kg normal saline(NS) via tail vein,while the animals in the M1,M2,M3 and M4 groups were injected with morphine hydrochloride injection at a dosage of 5,10,20 and 30 mg/kg via tail vein.Heart rate,blood oxygen saturation and activities of the animals were closely observed and recorded at 5,10 and 15 minutes after medication.Then,changes in the intake of kaolin,feed and water of the rats in each group were recorded and compared between the groups for 4 successive days after medication.Results: The blood oxygen saturation in the morphine treatment groups all reduced significantly,and statistical significance could be seen,when it was compared with that of the blank control group(P<0.05).On the first day after medication,the intake of kaolin in the M3 and M4 groups increased significantly,as compared with that of the blank control group(P<0.05).On the third day after medication,the intake of kaolin in the M1 group significantly increased,as compared with that of the blank control group(P<0.05).Conclusion: The rat pica model was established by tail vein injection of morphine,which could be used to replace the vomiting model.The effective dose of morphine was 20 mg/kg with less severe complications.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jie Chang ◽  
Chun Yang

Sufficient propofol or fentanyl doses necessary to prevent the response to skin incision do not necessarily reduce hemodynamic responses during surgery. The purpose of this study was to characterize the pharmacodynamic interaction between propofol and fentanyl with respect to the sedative effects and safety during painless gastrointestinal endoscopy. From October 2018 to October 2020, 200 patients undergoing painless gastrointestinal endoscopy in our department’s outpatient or inpatient clinic were selected and randomly divided into a control group and an observation group, 100 patients per group. Prior to surgery, the patients in the two groups were required to be connected to an electrocardiogram monitor and then were instructed to lie on the left side and receive continuous oxygen infusion of 2-3 L/min with a nasal cannula. The control group was injected with propofol injection (100 mg/min). The observation group was given fentanyl intravenous injection at a dose of 0.1 μg/kg followed by propofol injection (100 mg/min). Painless gastrointestinal endoscopy was performed after the patients entered a sleep state and the eyelash reaction disappeared. Outcome analysis was performed on preoperative and intraoperative hemodynamic indicators, including heart rate, blood oxygen saturation, dose of propofol, time for endoscopy, recovery time, hospitalization after recovery, Montreal Cognitive Assessment (MoCA) score, and Mini-Mental State Examination (MMSE) score. The incidence rate of adverse reactions in the observation group was 6%, which was notably lower than that of the control group (18%). The total response rate of the observation group was 98%, which was significantly higher than that of the control group (90%) ( P < 0.05 ). The intraoperative heart rate and blood oxygen saturation of the observation group were higher than those of the control group ( P < 0.0 ss ). The patients receiving sedation with propofol plus fentanyl had fewer doses of propofol and shorter recovery time than those receiving propofol alone ( P < 0.05 ). It was also revealed that the patients receiving sedation with propofol plus fentanyl exhibited more MoCA and MMSE scores than those receiving propofol alone 30 min after sedation during painless gastrointestinal endoscopy. Taken together, sedation with propofol combined with fentanyl was more effective and safer than that with propofol alone in painless gastrointestinal endoscopy, which can ensure a wake-up state, stable breathing cycle, and better gastrointestinal painless procedure.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Brenda N. E. Pelealu ◽  
Maya E.W. Moningka ◽  
Jimmy F. Rumampuk

Abstract: During physical activity, blood flow and oxygen usage will increase in order to transport oxygen which is required by muscles during exercise. One of the parameters to check the amount of oxygen that is bound to hemoglobin is oxygen saturation. This study aimed to determine the level of blood oxygen saturation of those who consumed mineral water and high oxygenated water during zumba gymnastics. This was an analytical experiments method with pre and post test approach. Total samples were 31 people who met the criteria and were willing to become the respondents. Data were analyzed using Wilcoxon Test. The results showed that the oxygen saturation before and after consuming mineral water (97.5±0.9) and (97.7±1.03) meanwhile before and after consuming high oxygenated water (97.6±0.75) and (98.7±0.44). The Wilcoxon test showed that there was a significant difference of blood oxygen saturation between before and after consuming high-oxygenated water (p=0.000) whereas for other respondents who consumed mineral water, there was no significant difference in their condition before and after consuming mineral water (p=0.198). Conclusion: There was a higher increase in blood oxygen saturation value before and after consuming oxygenated water compared to before and after consuming mineral water.Keywords: oxygen saturation, mineral water, and oxygenated water.Abstrak: Ketika beraktivitas fisik, aliran darah dan penggunaan oksigen akan meningkat untuk mengangkut oksigen yang diperlukan pada otot selama latihan. Salah satu parameter untuk melihat kadar oksigen yang berikatan dengan hemoglobin adalah Saturasi Oksigen. Penelitian ini bertujuan untuk mengetahui nilai saturasi oksigen darah pada orang yang mengkonsumsi air mineral dan air beroksigen tinggi pada senam zumba. Penelitian ini menggunakan metode analitik eksperimental dengan pendekatan pre and post test. Sampel penelitian berjumlah 31 orang yang memenuhi kriteria dan bersedia menjadi responden. Analisis data dilakukan dengan menggunakan uji Wilcoxon test. Hasil penelitian menunjukkan bahwa saturasi oksigen sebelum dan sesudah mengonsumsi air mineral (97,5±0,9) dan (97,7±1,03) sedangkan sebelum dan sesudah mengonsumsi air beroksigen tinggi (97,6±0,75) dan (98,7±0,44). Hasil uji Wilcoxon test menunjukkan perbedaan yang signifikan pada responden sebelum dan sesudah mengonsumsi air beroksigen (p=0,000) sedangkan ketika responden mengonsumsi air mineral terdapat perbedaan yang tidak signifikan pada kondisi sebelum dan sesudah mengkonsumsi air mineral (p=0,198). Simpulan: Terjadi peningkatan yang lebih tinggi dalam nilai saturasi oksigen darah sebelum dan sesudah mengkonsumsi air beroksigen dibandingkan dengan air mineral.Kata kunci: saturasi oksigen, air mineral, air beroksigen.


2010 ◽  
Vol 5 (1) ◽  
pp. 1934578X1000500 ◽  
Author(s):  
Tapanee Hongratanaworakit

The aim of this study was to investigate the effect of aromatherapy massage with jasmine oil (Jasminum sambac L., Oleaceae) on humans. Human autonomic parameters, i.e. blood pressure, pulse rate, blood oxygen saturation, breathing rate, and skin temperature, were recorded as indicators of the arousal level of the autonomic nervous system. In addition, subjects had to rate their emotional condition in terms of relaxation, vigor, calmness, attentiveness, mood, and alertness in order to assess subjective behavioral arousal. Forty healthy volunteers participated in the experiments. Jasmine oil was applied topically to the skin of the abdomen of each subject. Compared with placebo, jasmine oil caused significant increases of breathing rate, blood oxygen saturation, and systolic and diastolic blood pressure, which indicated an increase of autonomic arousal. At the emotional level, subjects in the jasmine oil group rated themselves as more alert, more vigorous and less relaxed than subjects in the control group. This finding suggests an increase of subjective behavioral arousal. In conclusion, our results demonstrated the stimulating/activating effect of jasmine oil and provide evidence for its use in aromatherapy for the relief of depression and uplifting mood in humans.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oksana Kolesova ◽  
Ieva Vanaga ◽  
Sniedze Laivacuma ◽  
Aleksejs Derovs ◽  
Aleksandrs Kolesovs ◽  
...  

Abstract Background Studies on a new coronavirus disease (COVID-19) show the elevation of liver enzymes and liver fibrosis index (FIB-4) independently on pre-existing liver diseases. It points to increased liver fibrogenesis during acute COVID-19 with possible long-term consequences. This study aimed to assess liver fibrosis in COVID-19 patients by serum hyaluronic acid (HA) and FIB-4. Methods The study included the acute COVID-19 group (66 patients, 50% females, mean age 58.3 ± 14.6), the post-COVID group (58 patients in 3–6 months after the recovery, 47% females, mean age 41.2 ± 13.4), and a control group (17 people, 47% females, mean age 42.8 ± 11.0). Ultrasound elastography was performed in the post-COVID and control groups. Results Sixty-five percent of the acute COVID-19 group had increased FIB-4 (> 1.45), and 38% of patients had FIB-4 ≥ 3.25. After matching by demographics, 52% of acute COVID-19 and 5% of the post-COVID group had FIB-4 > 1.45, and 29% and 2% of patients had FIB-4 ≥ 3.25, respectively. Increased serum HA (≥ 75 ng/ml) was observed in 54% of the acute COVID-19 and 15% of the post-COVID group. In the acute COVID-19 group, HA positively correlated with FIB-4, AST, ALT, LDH, IL-6, and ferritin and negatively with blood oxygen saturation. In the post-COVID group, HA did not correlate with FIB-4, but it was positively associated with higher liver stiffness and ALT. Conclusion More than half of acute COVID-19 patients had increased serum HA and FIB-4 related to liver function tests, inflammatory markers, and blood oxygen saturation. It provides evidence for the induction of liver fibrosis by multiple factors during acute COVID-19. Findings also indicate possible liver fibrosis in about 5% of the post-COVID group.


2021 ◽  
Author(s):  
Yan Zhang ◽  
Hong Wang ◽  
Mei Jing Fan ◽  
Lin Fan ◽  
Min Wang

Abstract Purpose: Femoral neck fractures in elderly patients lead to reduced mobility and increased risk of pulmonary complications. The main purpose of this study is to observe the forced expiratory volume in the first second(FEV1), forced vital capacity(FVC), blood oxygen saturation(SPO2), pulmonary complications, and hospitalization days in elderly patients with femoral neck fractures, and to evaluate the use of lung function trainers to train elderly patients’ lung function effect and feasibility.Methods: This is a prospective, randomized and single-blind study. 108 elderly patients with femoral neck fractures over 70 years old were randomly divided into a conventional group and a lung function trainer group. The conventional group received effective cough training and lip-reducing breathing training, and the lung function trainer group received effective cough training and lung function training. Until 2 weeks after surgery. The main outcomes are forced expiratory volume in the first second, forced vital capacity, and blood oxygen saturation. The secondary outcomes are pulmonary complications and the hospitalization days.Results: 50 subjects in the conventional group and 51 subjects in the lung function trainer group completed the study. On the 3rd and 7th day of training, the FVC of the lung function trainer group was higher than that of the conventional group (2.94±0.40vs.2.72±0.34,P<0.05;3.02±0.40vs.2.86±0.34,P<0.05), and the FVE1 of the the lung function trainer group was higher than that of the conventional group (1.99±0.37vs.1.80±0.42,P<0.05;2.14±0.39vs.1.94±0.43,<0.05), and the blood oxygen saturation of the lung function trainer group was higher than that of the conventional group ( 97.10±1.35vs.96.28±1.21;97.47±1.35vs.96.86±1.36,P<0.05), 4 cases of pneumonia in the conventional group, no one in the lung function trainer group was diagnosed with pneumonia, and the hospitalization days in the lung function trainer group was less than that in the conventional group (15.55±1.45VS.17.2±2.58,P<0.05).Conclusion: For elderly patients with femoral neck fracture, the use of lung function training device to strengthen respiratory muscle function training during perioperative period can improve the patient's lung function in a short period of time, reduce the complications of respiratory system infection, and shorten the hospitalization days. It is worthy of clinical application.


2019 ◽  
Vol 1 (1) ◽  
pp. 67-79
Author(s):  
Teti Hayati ◽  
Busjra M Nur ◽  
Fitrian Rayasari ◽  
Yani Sofiani ◽  
Diana Irawati

This study aims to identify the effect of 1 minute hyperoxygenation on the suctioning process on oxygen saturation of patients with mechanical ventilators. Quasi experimental research design pre-post test with control group design. The sample in this study were 34 respondents who installed mechanical ventilators. Analysis using the Wilcoxon test. The results showed oxygen I saturation before median hyperoxygenation 97 min 95-99, after median hyperoxygenation 99 min 98-100 with p value 0.05. While in the intervention group II before median hyperoxygenation 97 min 95-100, after median hyperoxygenation 99 min 95-100, with p value 0.05. Conclusions there were significant differences in oxygen saturation before and after 1 minute hyperoxygenation administration.  Keywords: Hyperoxygenation, Suction Process, Oxygen Saturation, Ventilator.


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