3 Minutes Tidal Breathing – A Gold Standard Technique Of Pre-Oxygenation For Elective Surgeries.

Pandey., Minati; Ursekar, Rajesh; Aphale, Shubhada

doi:10.15520/ijmhs.2014.vol4.iss6.29.194-197

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Preoxygenation. During elective surgery the anesthesia provider has the ability to provide adequate preoxygenation by administering 100% O2 for 3 minutes (Pandey, Ursekar, & Aphale, 2014). Effective preoxygenation with 100% O2 eliminates nitrogen from the lungs and replaces it with O2 (Nagelhout & Plaus, 2014).…”

Section: Oxygen and Surgerymentioning

confidence: 99%

“…To avoid hypoxia and its deleterious effects during the induction of anesthesia, preoxygenation is crucial (Pandey et al, 2014). However, there are numerous ways to preoxygenate a patient.…”

Section: Oxygen and Surgerymentioning

confidence: 99%

“…The mean time to desaturation the three minutes method was 281.70 ± 18 seconds. The authors concluded that the administration of 100% O2 over three minutes with normal tidal volumes prior to induction of anesthesia is an effective and safe method of preoxygenation (Pandey et al, 2014). mmHg (Hall, 2016).…”

Section: Oxygen and Surgerymentioning

confidence: 99%

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Does High Concentration Oxygen Decrease Surgical Site Infections?

McLernan¹

2019

Preprint

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Surgical site infections (SSIs) are among the most preventable infections acquired in the healthcare setting today. The potential for improved patient care and reduced healthcare spending by decreasing SSIs could save millions of US healthcare dollars and at the same time lead to better patient outcomes. The purpose of this systematic review was to explore whether high concentration oxygen delivered to surgical patients undergoing intraabdominal surgery decreases SSI. A systematic review was conducted to determine if high concentration oxygen decreases surgical site infection. Databases were searched, and inclusion and exclusion criteria were applied to select the articles for this systematic review. The PRISMA framework was used to guide the review and a total of six studies were critically analyzed. Two data collection tables were created for each article, one that illustrated the design of the study and one that illustrated the results. The CASP checklist was utilized to appraise each article critically. Finally, a cross-study analysis was conducted to compare the studies. Of the six studies, two were statistically significant 1and showed a decrease in SSI, contradicting earlier findings. Based on all the available research at this time, the use of high concentration oxygen during the intraoperative phase to decrease SSI should be followed if patient specifics and facility resources allow. Further studies will need to focus on standardized protocols specific to each abdominal surgery.

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Section: Oxygen and Surgerymentioning

confidence: 99%

Section: Oxygen and Surgerymentioning

confidence: 99%

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Does High Concentration Oxygen Decrease Surgical Site Infections?

McLernan¹

2019

Preprint

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Airway management in hospital. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” (third edition)

Андреенко

Bratishchev

Gavrilov

et al. 2021

Annals of Critical Care

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The review presents the guidelines of the Federation of Anesthesiologists and Resuscitators, revised in 2021. The recommendations are based on a review of publications and current international guidelines of the Society for Difficult Airways (2018, 2020), the American Society of Anesthesiologists (2013, draft-version 2022), the European Society anesthesiologists (2018). The guidelines provide up-to-date definitions of various “difficult airway” situations; modern data on the use of ultrasound technologies in assessing the upper airways and predicting the risk of aspiration based on preoperative ultrasound scanning of the stomach; current evidence on the effectiveness of modern devices for ventilation and tracheal intubation. Algorithms of actions in various situations with anticipated and unanticipated “difficult airways” in patients with different risks of aspiration are proposed. An algorithm for preparing, predicting possible complications and performing tracheal extubation is also proposed. The recommendations presented in the review are aimed at achieving the goal - increasing patient safety during situations of “difficult airways” through the use of the safest and most effective approaches and methods, as well as reducing the risk of complications associated with these situations (death, severe neurological damage, traumatic injuries of the upper airways and trachea, etc.).

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Airway Management in Critical Settings

Elkarta¹,

Eldegwy²

2021

Special Considerations in Human Airway Management

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Airway management continues to be a challenging task for healthcare practitioners and when it comes to critical settings; it carries more challenges even for the skilled persons. Critical settings could be in fact of suits; where intervention takes place, equipment or practitioners taking care of airway management. Critically ill patients with multiple comorbidities, increasing oxygen demand and high respiratory work; that may require elective airway securing. Various protocols, guidelines and recommendations advocated for this task with the prospects of less hemodynamic alteration and prevention of pulmonary aspiration. In the former, starting oxygen therapy for all critical patients on admission was a routine following the concept; if some is good, more must be better. Nowadays excess oxygen may be unfavorable in some acute critical conditions e.g. ischemic strokes, post-acute myocardial infraction and those with hypercapnic respiratory failure. However, still high flow inspired oxygen concentration is the protocol until they are stable then its reduction to reach the targeted arterial oxygen saturation. Oxygen devices used for oxygen delivery are plenty and its selection depends on the many factors; airway patency, patient’s conscious level and compliance, and assessment of gas exchange based on arterial blood sample which is recommended for all critically ill patients. Early prompt evaluation of the airway and assessment of gas exchange using arterial blood sample analysis is curial in all critically ill patients to guide for subsequent oxygen supply and whether the patient needs ventilatory support or not. This chapter will focus on airway management, oxygen therapy and types of ventilatory support required for adult critically ill patients, while other situations’ airway management’s tools and skills will be discussed in another ones.

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3 Minutes Tidal Breathing – A Gold Standard Technique Of Pre-Oxygenation For Elective Surgeries.

Cited by 3 publications

References 8 publications

Does High Concentration Oxygen Decrease Surgical Site Infections?

Does High Concentration Oxygen Decrease Surgical Site Infections?

Airway management in hospital. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” (third edition)

Airway Management in Critical Settings

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