Efficacy and Safety of Low Flow Oxygen During Procedural Sedation in the Office; An Analysis of SAO2 (pulse oximetry) and End Tidal Expired Oxygen(FeO2).
DOI:
https://doi.org/10.14738/bjhmr.111.16338Keywords:
Adult, ambulatory surgical procedures, Anesthesia local, covid -19, monitoring, oxygen, Retrospective studies, Sedation, EtCO2: end tidal CO2 (nostrils), Fent: fentanyl, FeO2: fractional expired oxygen%, FiO2: fractional inspired oxygen%, LA: local anesthesia, Mep: meperidine, Midaz: midazolam, Mor: morphine, NORA: non operating room anesthesia, OR: operating room, Promaz: promazine, SaO2: oxygen saturation (finger pulse oxymetry)Abstract
Purpose: measurement of FeO2 confirms the safety of low flow oxygen. Patients and methods: In a series of 235 patients undergoing office plastic and dental surgery under conscious sedation with midazolam/fentanyl or promazine/meperidine during the Covid pandemia we evaluated the safety of low flow (0.5-1 lt/min) oxygen adding the continuous measurement of FeO2 to the standard non invasive monitoring. Results: FeO2 demonstrated no relationship with pulse oxymetry and a negative relationship with etCO2.Low flow oxygen corrected both FeO2 and SaO2.Vital signs were stable and all patients were discharged home within 2 hr after surgery. Conclusion :FeO2 measurement could constitute an early warning signal of impendind danger and serve the purpose of oxygen sparin
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Claudio Melloni
This work is licensed under a Creative Commons Attribution 4.0 International License.
