End‐tidal oxygraphy during pre‐oxygenation in patients with severe diffuse emphysema
We hypothetised that the rate of pre‐oxygenation could be altered by the increase in lung volume and airflow obstruction observed in emphysema. End‐tidal oxygen concentration was monitored, using a paramagnetic oxygen analyser, during 10‐min pre‐oxygenation (tidal breathing of 100% oxygen) in 10 nor...
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Published in | Anaesthesia Vol. 55; no. 9; pp. 841 - 846 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Oxford, UK
Blackwell Science Ltd
01.09.2000
Blackwell |
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Abstract | We hypothetised that the rate of pre‐oxygenation could be altered by the increase in lung volume and airflow obstruction observed in emphysema. End‐tidal oxygen concentration was monitored, using a paramagnetic oxygen analyser, during 10‐min pre‐oxygenation (tidal breathing of 100% oxygen) in 10 normal patients and in 10 patients with severe diffuse emphysema documented by computerised tomography. Emphysema was characterised by an important increase in functional residual capacity of the lungs [190 (23)% of predicted values] and a decrease in expiratory flow. The increase in end‐tidal oxygen concentration was slower in the emphysema group than in the control group (p = 0.0024). After 3 and 5 min of pre‐oxygenation, the end‐tidal fractional oxygen concentration was significantly lower in the emphysema group than the control group [mean (SD); value at 3 min: emphysema: 0.83 (0.06) vs. control: 0.91 (0.02), p = 0.0005]. Individual values of end‐tidal oxygen concentration measured after 3, 5 and 10 min of pre‐oxygenation were negatively correlated with functional residual capacity in the emphysema group, whereas no such correlation was found in the control group. These results suggest that pre‐oxygenation should be monitored in patients with diffuse emphysema to ensure that adequate pre‐oxygenation is achieved. |
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AbstractList | We hypothetised that the rate of pre‐oxygenation could be altered by the increase in lung volume and airflow obstruction observed in emphysema. End‐tidal oxygen concentration was monitored, using a paramagnetic oxygen analyser, during 10‐min pre‐oxygenation (tidal breathing of 100% oxygen) in 10 normal patients and in 10 patients with severe diffuse emphysema documented by computerised tomography. Emphysema was characterised by an important increase in functional residual capacity of the lungs [190 (23)% of predicted values] and a decrease in expiratory flow. The increase in end‐tidal oxygen concentration was slower in the emphysema group than in the control group (p = 0.0024). After 3 and 5 min of pre‐oxygenation, the end‐tidal fractional oxygen concentration was significantly lower in the emphysema group than the control group [mean (SD); value at 3 min: emphysema: 0.83 (0.06) vs. control: 0.91 (0.02), p = 0.0005]. Individual values of end‐tidal oxygen concentration measured after 3, 5 and 10 min of pre‐oxygenation were negatively correlated with functional residual capacity in the emphysema group, whereas no such correlation was found in the control group. These results suggest that pre‐oxygenation should be monitored in patients with diffuse emphysema to ensure that adequate pre‐oxygenation is achieved. |
Author | Farah, E. Samain, E. Delefosse, D. Marty, J. |
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Cites_doi | 10.1093/bja/72.1.3 10.1172/JCI108630 10.1111/j.1365-2044.1997.14-az016.x 10.1093/bja/76.2.284 10.1152/jappl.1967.22.1.95 10.1093/bja/75.6.777 10.1213/00000539-198705000-00019 10.1177/0310057X9302100406 10.1016/0002-9343(60)90100-5 10.1093/bja/72.1.116 10.1093/bja/77.3.333 10.1111/j.1399-6576.1992.tb03433.x 10.1164/ajrccm/146.5_Pt_1.1334 10.1164/arrd.1973.107.4.571 10.1177/0310057X9302100611 10.1016/0952-8180(94)00011-r 10.1007/BF02832185 10.1152/jappl.1983.55.6.1777 10.1164/ajrccm/136.5.1285 |
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References | 1957;; 16 1997;; 52 1996;; 77 1996;; 76 1983;; 55 1994;; 72 1992;; 36 1995;; 75 1996 1990;; 6 1977;; 59 1960;; 29 1967;; 22 1992;; 146 1987;; 66 1973;; 107 1987;; 136 1995;; 7 1993;; 21 e_1_2_5_14_2 e_1_2_5_13_2 e_1_2_5_9_2 e_1_2_5_16_2 e_1_2_5_8_2 e_1_2_5_15_2 e_1_2_5_7_2 e_1_2_5_10_2 e_1_2_5_22_2 e_1_2_5_5_2 e_1_2_5_12_2 e_1_2_5_20_2 e_1_2_5_4_2 e_1_2_5_11_2 e_1_2_5_3_2 e_1_2_5_2_2 e_1_2_5_18_2 e_1_2_5_17_2 Findley LJ (e_1_2_5_6_2) 1983; 55 Guyton AC (e_1_2_5_21_2) 1996 West JB (e_1_2_5_19_2) 1957; 16 |
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Snippet | We hypothetised that the rate of pre‐oxygenation could be altered by the increase in lung volume and airflow obstruction observed in emphysema. End‐tidal... We hypothetised that the rate of pre-oxygenation could be altered by the increase in lung volume and airflow obstruction observed in emphysema. End-tidal... |
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SubjectTerms | Adult Aged Anaesthetic technique Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carbon Dioxide - blood end‐tidal oxygen Female General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation Humans Male Medical sciences Middle Aged Monitoring Monitoring, Physiologic - methods Oxygen - blood Oxygen Inhalation Therapy Partial Pressure Preoperative Care - methods pre‐oxygenation Pulmonary Emphysema - physiopathology Pulmonary Emphysema - therapy Respiratory Mechanics Thoracic Surgical Procedures |
Title | End‐tidal oxygraphy during pre‐oxygenation in patients with severe diffuse emphysema |
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