scholarly journals Effects of Pacifiers on Peripheral Capillary Oxygen Saturation during Wake Time

2021 ◽  
Vol 11 (13) ◽  
pp. 6042
Author(s):  
Luca Levrini ◽  
Francesca Riccaboni ◽  
Vittorio Maurino ◽  
Lorenzo Azzi ◽  
Luana Nosetti
Keyword(s):  
Oxygen Saturation ◽  
Supine Position ◽  
Sitting Position ◽  
Peripheral Oxygen Saturation ◽  
Wake Time ◽  
One Year ◽  
Positive Effect ◽  
Pacifier Use

We studied the variations in peripheral capillary oxygen saturation (SpO2) during wake time in relation to pacifier use and to the following different positions: supine at 0°, supine at 30° (in babies under one year) vs. sitting (in babies between 1 and 3 years of age). We observed 54 patients under the age of three years, weighing over 1.800 g. Peripheral oxygen saturation was recorded for at least 40 min per patient in the following positions: 20 min lying supine at 0° (10 min with a pacifier and 10 min without); 20 min lying supine at 30° inclination or in a sitting position if the baby was older than one year (10 min with a pacifier and 10 min without). Pacifier use improved the peripheral oxygen saturation both in the 0° supine position, and at 30° in a sitting position. No significant differences were observed in the SpO2 levels comparing the different positions. In conclusion a pacifier thus seems to have a positive effect on respiration.

scholarly journals The Use of Oxygen Reserve Index in One-Lung Ventilation and Its Impact On Peripheral Oxygen Saturation, Perfusion Index and Pleth Variability Index

2021 ◽  
Author(s):  
Gonul Sagiroglu ◽  
Ayse Baysal ◽  
Yekta Altemur Karamustafaoglu
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
General Anesthesia ◽  
Supine Position ◽  
Lung Ventilation ◽  
Anesthesia Induction ◽  
Pleth Variability Index ◽  
One Lung Ventilation ◽  
Peripheral Oxygen Saturation ◽  
Variability Index

Abstract Background: Our goal is to investigate the use of the Oxygen Reserve Index (ORi) and its relation with peripheral oxygen saturation, perfusion index (PI), and pleth variability index (PVI) during one-lung ventilation (OLV).Methods: Fifty patients undergoing general anesthesia and OLV for elective thoracic surgeries were enrolled in an observational cohort study in a tertiary care teaching hospital. During general anesthesia induction, propofol, fentanyl, and rocuronium at appropriate doses were administered intravenously. All patients required OLV after a left-sided double-lumen tube insertion during intubation. Hypoxemia during OLV was defined as peripheral oxygen saturation (SpO2) value of less than 95% when the inspired oxygen fraction (FiO2) is above 60% on a pulse oximetry device. ORi, pulse oximetry, PI, and PVI were measured continuously. Sensitivity, specificity, positive and negative predictive values, likelihood ratios, and accuracy were calculated for ORi equals zero in different anesthesia time points to predict hypoxemia. At Clinicaltrials.gov registry, the Registration ID is NCT05050552.Results: The accuracy for predicting hypoxemia during anesthesia induction at ORi value equals zero at five minutes after intubation in the supine position (DS5) showed a sensitivity of 92.3% (95% CI 84.9-99.6), specificity of 81.1% (95% CI 70.2-91.9), and an accuracy of 84.0% (95% CI 73.8- 94.2). ORi and SpO2 correlation was found at DS5 (p = 0.044), 5 minutes after lateral position with two-lung ventilation (DL5) (p = 0.039), and at 10 minutes after OLV (OLV10)(p = 0.011).Conclusions: ORi equals zero at the time point of five minutes after tracheal intubation in the supine position (DS5) showed high sensitivity and specificity for predicting hypoxemia at a less than 95% value.

scholarly journals Reproducibility and agreement between three positions for handgrip assessment

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Olga-Cecilia Vargas-Pinilla ◽  
Eliana-Isabel Rodríguez-Grande
Keyword(s):  
Supine Position ◽  
Cross Sectional Study ◽  
Sitting Position ◽  
Average Difference ◽  
Cross Sectional ◽  
Hand Grip ◽  
Standardization Process ◽  
The One ◽  
Level Of Agreement ◽  
Apparently Healthy

AbstractThe protocol established for taking hand grip dynamometry measurements determines that the patient must be in a sitting position. This protocol cannot be applied due to the patient’s conditions in some cases, such as abdominal surgery, musculoskeletal spine or hip injuries. The purpose was to determine the reproducibility and level of agreement between the Handgrip dynamometry in supine position with the elbow flexed or extended, and the one measured in the sitting position, the design was a descriptive cross-sectional study. The population were young apparently healthy between 18 and 30 years of age (N = 201). Handgrip measurement was performed on both upper limbs in a sitting position with a flexed elbow, a supine position with a flexed elbow, and supine position with the elbow extended. Reproducibility was nearly perfect in all positions (ICC 0.95–0.97). Regarding the level of agreement for the comparison between sitting and supine positions with a flexed elbow, an average difference of − 0.406. For supine position with an extended elbow and supine position with a flexed elbow, the average difference was − 1.479. Considering the results, clinicians or researchers can choose any of the positions evaluated herein and obtain reliable results as long as the standardization process is followed.

Non-invasive ventilation improves peripheral oxygen saturation and reduces fatigability of quadriceps in patients with COPD

Respirology ◽  
2009 ◽  
Vol 14 (4) ◽  
pp. 537-544 ◽  
Author(s):  
Audrey BORGHI-SILVA ◽  
Luciana DI THOMMAZO ◽  
Camila B.F. PANTONI ◽  
Renata G. MENDES ◽  
Tania DE FÁTIMA SALVINI ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Invasive Ventilation ◽  
Peripheral Oxygen Saturation ◽  
Non Invasive ◽  
Non Invasive Ventilation

scholarly journals Effect of a Taped Filter Mask on Perceived Breathlessness, Heart Rate, Lactate and Oxygen Saturation During a Graded Exercise Test

2021 ◽  
Author(s):  
Hoi Lam Ng ◽  
Johannes Trefz ◽  
Martin Schönfelder ◽  
Henning Wackerhage
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Exercise Test ◽  
Repeated Measures ◽  
Face Mask ◽  
Cycle Ergometer ◽  
Peripheral Oxygen Saturation ◽  
Graded Exercise Test ◽  
Graded Exercise ◽  
The Face

Abstract Background: Face masks are an effective, non-pharmacological strategy to reduce the transmission of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) and other pathogens. However, it is a challenge to keep masks sealed during exercise, as ventilation can increase from 5-10 L/min at rest to up to 200 L/min so that masks may be blown away from the face. To reduce leakage e.g. during exercise, a face mask was developed that is taped onto the face. The aim of this study was to investigate during a graded cycle ergometry test the effect of a taped mask on the perception of breathlessness, heart rate, lactate, and oxygen saturation when compared to a surgical mask and no mask.Methods: Four trained and healthy males and females each (n=8 in total) performed incremental cycle ergometer tests until voluntary exhaustion under three conditions: (1) No mask/control, (2) surgical mask or (3) taped mask. During these tests, we measured perception of breathlessness, heart rate, the concentration of blood lactate and peripheral oxygen saturation and analysed the resultant data with one or two-way repeated measures ANOVAs. We also used a questionnaire to evaluate mask comfort and analysed the data with paired t-tests. Results: When compared to wearing no mask, a taped face mask significantly reduces the maximal workload in a graded exercise test by 12±6% (p=0.001). Moreover, with a taped face mask, subjects perceive severe breathlessness at 12±9% lower workload (p=0.012) and oxygen saturation at 65% of the maximal workload is 1.5% lower (p=0.018) when compared to wearing no mask. Heart rate and the concentration of lactate were not significantly different at any workload. When compared to wearing a surgical mask, wearing a taped face mask has a significantly better wearing comfort (p=0.038), feels better on the skin (p=0.004), there is a lower sensation of moisture (p=0.026) and wearers perceive that less heat is generated (p=0.021). We found no sex/gender differences for any parameters. Conclusions: A taped mask is well tolerated during light and moderate exercise intensity but reduces maximal exercise capacity.

scholarly journals Postural Changes in Measures of Arterial Stiffness in Hypertensive Subjects on Antihypertensive Drug Therapy: A Prospective, Pilot Study

2016 ◽  
Vol 26 (02) ◽  
pp. 078-082
Author(s):  
Du Jun ◽  
Chin Cheong ◽  
Ashish Sule
Keyword(s):  
Arterial Stiffness ◽  
Supine Position ◽  
Enzyme Inhibitor ◽  
Antihypertensive Drug Therapy ◽  
Rank Test ◽  
P Value ◽  
Sitting Position ◽  
Antihypertensive Medications ◽  
Postural Changes ◽  
Significant Difference

AbstractProspective study with a controlled arm to know if there are variations of measures of arterial stiffness with posture in subjects with hypertension on antihypertensive medications.We studied postural variations of measures of arterial stiffness in 21 subjects with diagnosed hypertension on antihypertensive medications and compared them with 21 normotensive subjects. All subjects underwent pulse-wave analysis on SphygmoCor in the morning between 8 am to 10 am initially in supine and then in sitting position after 3 minutes. Summary measures on demographics, and blood pressure characteristics at sitting and supine positions are obtained. Differences between characteristics at supine and sitting position are compared using nonparametric paired test of Wilcoxon signed-rank test. A value of p < 0.05 was accepted as statistically significant.Antihypertensive medications decreased the supine aortic augmentation pressure (AAP) and augmentation index (AI) but not significantly. When subgroups of patients with antihypertensive treatment were analyzed, it was noted that angiotensin-converting enzyme inhibitor and angiotensin receptor blocker group (12) decreased AAP and AI significantly in supine position compared with patients on other antihypertensive medications (9) (p-value 0.034 and 0.038, respectively). There was no significant difference in other groups of calcium channel blockers, β-blockers, or diuretics. However, in normotensive control arm, there was an increase in AAP and AI in the supine position.In hypertensive subjects, on antihypertensive, there was reduction in AAP and AI in supine position compared with those of normotensives. The significance of the decrease in AAP and AI in supine position on antihypertensive needs to be studied further.

scholarly journals Evaluation of Knowledge of Oxygen Therapy and Reading of Flowmeter among the Health Workers in the Pediatric Unit of the Hospital Universitario San Ignacio, Bogotá, Colombia

2018 ◽  
Vol 59 (3) ◽  
pp. 1-8
Author(s):  
Elly Morros González ◽  
Diana Estrada Cano ◽  
Marcela Murillo Galvis ◽  
Jos Carlos Montes Correa ◽  
Nelcy Rodríguez Malagón ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Oxygen Saturation ◽  
Oxygen Therapy ◽  
Health Workers ◽  
Supplemental Oxygen ◽  
Cross Sectional Study ◽  
Peripheral Oxygen Saturation ◽  
Cross Sectional ◽  
Fraction Of Inspired Oxygen ◽  
Supplemental Oxygen Therapy

Introduction: Supplemental oxygen is considered a pharmaceutical drug; therefore, it can produce adverse effects. Lack of consensus regarding the reading of oxygen flowmeters and the peripheral oxygen saturation (SpO2) goals can influence clinical and paraclinical decisions and hospital stay length. Objective: To assess knowledge on oxygen therapy, adverse effects, SpO2 goals and reading of oxygen flowmeters among personnel in the Pediatric Unit at Hospital Universitario San Ignacio, Bogotá, Colombia. Methodology: Cross-sectional study derived from convenience sampling through a self-applied survey between December 2016 and January 2017. The poll evaluated topics on supplemental oxygen therapy fundamentals and adverse effects, SpO2 goals and flowmeter readings through flowmeters photographs indicating a specific fraction of inspired oxygen (FiO2). Results: The response rate was 77% from 259 subjects. 22% considered that the oxygen saturation either increases or remains the same during sleep periods in children. 78% of participants knew at least one complication associated to prolonged oxygen therapy and 67% due to supplemental oxygen concentration greater than required. In neonatal population, 10% considered oxygen saturation goals equal to or greater than 96%. In the flowmeter’s reading evaluation, incorrect answers ranged from 9 to 19%. Conclusion: It is imperative to reinforce updated concepts on oxygen therapy, with emphasis in SpO2 goals, adverse effects and appropriate flowmeter’s readings through periodic educational campaigns.

scholarly journals Occurrence and management of postoperative pneumocephalus using the semi-sitting position in vestibular schwannoma surgery

2020 ◽  
Vol 162 (11) ◽  
pp. 2629-2636
Author(s):  
Kathrin Machetanz ◽  
Felix Leuze ◽  
Kristin Mounts ◽  
Leonidas Trakolis ◽  
Isabel Gugel ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Supine Position ◽  
Tumor Size ◽  
Clinical Symptoms ◽  
Neurosurgical Procedures ◽  
Posterior Fossa Surgery ◽  
Sitting Position ◽  
Tension Pneumocephalus ◽  
Replacement Procedure ◽  
Duration Of Surgery

Abstract Background The semi-sitting position in neurosurgical procedures is still under debate due to possible complications such as venous air embolism (VAE) or postoperative pneumocephalus (PP). Studies reporting a high frequency of the latter raise the question about the clinical relevance (i.e., the incidence of tension pneumocephalus) and the efficacy of a treatment by an air replacement procedure. Methods This retrospective study enrolled 540 patients harboring vestibular schwannomas who underwent posterior fossa surgery in a supine (n = 111) or semi-sitting (n = 429) position. The extent of the PP was evaluated by voxel-based volumetry (VBV) and related to clinical predictive factors (i.e., age, gender, position, duration of surgery, and tumor size). Results PP with a mean volume of 32 ± 33 ml (range: 0–179.1 ml) was detected in 517/540 (96%) patients. The semi-sitting position was associated with a significantly higher PP volume than the supine position (40.3 ± 33.0 ml [0–179.1] and 0.8 ± 1.4 [0–10.2], p < 0.001). Tension pneumocephalus was observed in only 14/429 (3.3%) of the semi-sitting cases, while no tension pneumocephalus occurred in the supine position. Positive predictors for PP were higher age, male gender, and longer surgery duration, while large (T4) tumor size was established as a negative predictor. Air exchange via a twist-drill was only necessary in 14 cases with an intracranial air volume > 60 ml. Air replacement procedures did not add any complications or prolong the ICU stay. Conclusion Although pneumocephalus is frequently observed following posterior fossa surgery in semi-sitting position, relevant clinical symptoms (i.e., a tension pneumocephalus) occur in only very few cases. These cases are well-treated by an air evacuation procedure. This study indicates that the risk of postoperative pneumocephalus is not a contraindication for semi-sitting positioning.

Determinants and interindividual variation of R-R interval dynamics in healthy middle-aged subjects

2001 ◽  
Vol 280 (3) ◽  
pp. H1400-H1406 ◽  
Author(s):  
Sirkku M. Pikkujämsä ◽  
Timo H. Mäkikallio ◽  
K. E. Juhani Airaksinen ◽  
Heikki V. Huikuri
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Supine Position ◽  
Population Sample ◽  
Interindividual Variation ◽  
Sitting Position ◽  
Middle Aged ◽  
Complexity Measures ◽  
Rate Behavior ◽  
Z Value

Determinants and intersubject variations of fractal and complexity measures of R-R interval variability were studied in a random population of 200 healthy middle-aged women (age 51 ± 6 yr) and 189 men (age 50 ± 6 yr) during controlled conditions in the supine and sitting positions. The short-term fractal exponent (α1) was lower in women than men in both the supine (1.18 ± 0.20 vs. 1.12 ± 0.17, P < 0.01) and sitting position ( P < 0.001). Approximate entropy (ApEn), a measure of complexity, was higher in women in the sitting position (1.16 ± 0.17 vs. 1.07 ± 0.19, P < 0.001), but no gender-related differences were observed in ApEn in the supine position. Fractal and complexity measures were not related to any other demographic, laboratory, or lifestyle factors. Intersubject variations in a fractal measure, α1 (e.g., 1.15 ± 0.20 in the supine position, z value 1.24, not significant), and in a complexity measure, ApEn (e.g., 1.14 ± 0.18 in the supine position, z value 1.44, not significant), were generally smaller and more normally distributed than the variations in the traditional measures of heart rate variability (e.g., standard deviation of R-R intervals 49 ± 21 ms in the supine position, z value 2.53, P < 0.001). These results in a large random population sample show that healthy subjects express relatively little interindividual variation in the fractal and complexity measures of heart rate behavior and, unlike the traditional measures of heart rate variability, they are not related to lifestyle, metabolic, or demographic variables. However, subtle gender-related differences are also present in fractal and complexity measures of heart rate behavior.

Sign in / Sign up

Export Citation Format

Share Document