Document Detail


A simple method for the maintenance of oxygen saturation following intravenous induction of anaesthesia with propofol.
MedLine Citation:
PMID:  7978128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred unpremedicated fit adult patients having elective minor day-stay surgery and general anaesthesia were randomly allocated to one of two groups. During 30 s of intravenous propofol administration (2.5 mg.kg-1), study group patients (n = 50) were instructed to take three vital capacity breaths of room air, whilst control group patients (n = 50) were given no specific instructions. Pulse oximetry was continuously recorded over the next 5 min and the lowest oxygen saturation was noted. Pre-induction oxygen saturation was the same for both groups, but the lowest median oxygen saturation in the study group patients was 94% versus 88% in the control group patients (p < 0.001). Oxygen saturation returned to the pre-induction value significantly earlier in the study group patients compared with controls (97 s vs 135 s, p < 0.01). These results demonstrate that significant desaturation occurs in patients following intravenous induction of anaesthesia with propofol. This desaturation may be attenuated by asking patients to take three vital capacity breaths of room air during induction of anaesthesia.
Authors:
R Ruggier; C R Bailey; R M Grounds; J T Clarke
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  49     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1994-12-08     Completed Date:  1994-12-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  759-61     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthetics, St Georges' Hospital, London.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General*
Anesthesia, Intravenous*
Female
Humans
Male
Oxygen / blood*
Propofol*
Respiration
Vital Capacity
Chemical
Reg. No./Substance:
2078-54-8/Propofol; 7782-44-7/Oxygen
Comments/Corrections
Comment In:
Anaesthesia. 1995 Feb;50(2):178-9   [PMID:  7710037 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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