...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Supplemental oxygen compromises the use of pulse oximetry for detection of apnea and hypoventilation during sedation in simulated pediatric patients.
【24h】

Supplemental oxygen compromises the use of pulse oximetry for detection of apnea and hypoventilation during sedation in simulated pediatric patients.

机译：在模拟儿科患者镇静期间，补充氧气会损害脉搏血氧饱和度的检测，以检测呼吸暂停和通气不足。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: The goal was to assess the time to recognition of apnea in a simulated pediatric sedation scenario, with and without supplemental oxygen. METHODS: A pediatric human patient simulator mannequin was used to simulate apnea in a 6-year-old patient who received sedation for resetting of a fractured leg. Thirty pediatricians participating in a credentialing course for sedation were randomly assigned to 2 groups. Those in group 1 (N = 15) used supplemental oxygen, and those in group 2 (N = 15) did not use supplemental oxygen. A third group (N = 10), consisting of anesthesiology residents (postgraduate years 2 and 3 equivalent), performed the scenario with oxygen supplementation, to ensure validity and reliability of the simulation. The time interval from simulated apnea to bag-mask ventilation was recorded. Oxygen saturation and Paco(2) values were recorded. All recorded variables and measurements were compared between the groups. RESULTS: The time interval for bag-mask ventilation to occur in group 1 (oxygen supplementation) was significantly longer than that in group 2 (without oxygen supplementation) (173 +/- 130 and 83 +/- 42 seconds, respectively). The time interval for bag-mask ventilation to occur was shorter in group 3 (anesthesiology residents) (24 +/- 6 seconds). Paco(2) reached a higher level in group 1 (75 +/- 26 mmHg), compared with groups 2 and 3 (48 +/- 10 and 42 +/- 3 mmHg, respectively). There was no significant difference between the groups in oxygen saturation values at the time of clinical detection of apnea (93 +/- 5%, 88 +/- 5%, and 94 +/- 7%, respectively). CONCLUSIONS: Hypoventilation and apnea are detected more quickly when patients undergoing sedation breathe only air. Supplemental oxygen not only does not prevent oxygen desaturation but also delays the recognition of apnea.
机译：目的：目的是评估在有或没有补充氧气的模拟小儿镇静情况下识别呼吸暂停的时间。方法：使用一个儿科人类患者模拟人体模型来模拟一名6岁患者的呼吸暂停，该患者因镇静骨折而接受镇静。 30名参加镇静证书课程的儿科医生被随机分为2组。第一组（N = 15）的那些使用补充氧气，而第二组（N = 15）的那些没有使用补充氧气。第三组（N = 10）由麻醉科住院医师（研究生2年和3年级）组成，进行了补充氧气的方案，以确保模拟的有效性和可靠性。记录从模拟呼吸暂停到面罩通气的时间间隔。记录氧饱和度和Paco（2）值。在组之间比较所有记录的变量和测量值。结果：第1组（补充氧气）袋面罩通气的时间间隔显着长于第2组（不补充氧气）的时间间隔（分别为173 +/- 130和83 +/- 42秒）。第3组（麻醉科住院医师）发生气囊面罩通气的时间间隔较短（24 +/- 6秒）。与第2和第3组（分别为48 +/- 10和42 +/- 3 mmHg）相比，第1组的Paco（2）达到更高的水平（75 +/- 26 mmHg）。临床检测到呼吸暂停时两组之间的氧饱和度值无显着差异（分别为93 +/- 5％，88 +/- 5％和94 +/- 7％）。结论：当镇静患者仅呼吸空气时，通气不足和呼吸暂停的检测速度更快。补充氧气不仅不能防止氧气去饱和，而且会延迟呼吸暂停的识别。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号