Year 2018, Volume 2 , Issue 3, Pages 310 - 314 2018-09-01

The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters
Genel anestezi sırasında preoksijenizasyonda CPAP uygulaması ile indüksiyonda PEEP uygulamasının non-hipoksik apne süresine ve hemodinamik parametrelere etkisi

Havva Esra UYAR TÜRKYILMAZ [1] , Asutay GÖKTUĞ [2] , Selçuk TUR [3] , Hülya BAŞAR [4]


Aim: This study evaluated the effects of applying CPAP during preoxygenation and PEEP during mask ventilation upon the duration of non-hypoxic apnea and hemodynamic parameters. 

Methods: This prospective randomized study included 100 patients allocated to 4 groups. In Groups I and III, preoxygenation was applied with CPAP mask without any pressure and during induction ventilation was performed with volume-controlled ventilation (CMV) in Group I and CMV + 6 cm H2O PEEP in Group III. In Groups II and IV, preoxygenation was applied with CPAP mask with 6 cmH2O pressure and during induction; ventilation was performed with CMV in Group II and CMV + 6 cm H2O PEEP in Group IV. After tracheal intubation, the tube was left open to air and the patient remained apneic until SpO2 reached 90%. 

Results: The time for SpO2 to reach 90% is significantly longer in Group IV compared to the other groups. The durations were 412.50±97.37 sec in Group I, 443.52±88.84 sec in Group II, 415.20±117.45 sec in Group III and 522.92±83.44 sec in Group IV. Using only CPAP during preoxygenation and only PEEP during mask ventilation had no significant effect on duration of non-hypoxic apnea. 

Conclusion: Especially for patients with difficult intubation, application of CPAP during preoxygenation followed with PEEP during mask ventilation safe, simple and it prolongs non-hypoxic apnea period.


Amaç: Bu çalışmada preoksijenizasyonda CPAP ve maske ile ventilasyon sırasında PEEP uygulamanın non-hipoksik apne süresine ve hemodinamik parametrelere etkisi incelenmiştir. Yöntemler: Prospektif randomize çalışmada 100 hasta 4 gruba ayrılmıştır. Grup I ve III’te preoksijenizasyon CPAP maskesiyle uygulanmış ama hastalara basınç uygulanmamış ve indüksiyon sırasında Grup I’de hacim kontrollü ventilasyon (CMV) , Grup III’te ise CMV+6 cmH2O PEEP uygulanmıştır. Grup II ve IV’te ise preoksijenizasyonda CPAP maskesi ile 6 cmH2O basınç uygulanmış; indüksiyon sırasında Grup II’de CMV ile ventilasyon sağlanmış, Grup IV’te ise CMV+6 cmH2O PEEP uyfulanmıştır. Trakeal entübasyondan sonra, tüp havaya açılmış ve hasta spO2 değeri %90’a düşene kadar apneik bırakılmıştır. 

Bulgular: Saturasyonun %90’a düşme süresi Grup IV’te diğer gruplardan anlamlı olarak uzun bulundu. Süreler Grup I’de 412,50±97,37 sn, Grup II’de 443,52±88,84 sn, Grup III’de 415,20±117,45 sn ve Grup IV’de 522,92±83,44 sn şeklinde idi. Tek başına preoksijenizasyonda CPAP veya maske ile ventilasyon sırasında PEEP kullanmanın non-hipoksik apne süresine etkisi olmadığı görüldü.

Sonuç: Özellikle entübasyon güçlüğü düşünülen vakalarda preoksijenizasyon sırasında CPAP ve maske ile ventilasyon sırasında PEEP kullanmak güvenli, basit ve rahat tolere edilen bir yöntemdir ve non-hipoksik apne süresini uzatmaktadır.


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Primary Language en
Subjects Surgery
Journal Section Research article
Authors

Author: Havva Esra UYAR TÜRKYILMAZ (Primary Author)
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA DR. ZEKAİ TAHİR BURAK KADIN SAĞLIĞI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Author: Asutay GÖKTUĞ
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA GÜLHANE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Author: Selçuk TUR
Institution: ANTALYA KEPEZ DEVLET HASTANESİ
Country: Turkey


Author: Hülya BAŞAR
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA GÜLHANE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Dates

Publication Date : September 1, 2018

Bibtex @research article { josam436032, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2018}, volume = {2}, pages = {310 - 314}, doi = {10.28982/josam.436032}, title = {The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters}, key = {cite}, author = {Uyar Türkyılmaz, Havva Esra and Göktuğ, Asutay and Tur, Selçuk and Başar, Hülya} }
APA Uyar Türkyılmaz, H , Göktuğ, A , Tur, S , Başar, H . (2018). The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters . Journal of Surgery and Medicine , 2 (3) , 310-314 . DOI: 10.28982/josam.436032
MLA Uyar Türkyılmaz, H , Göktuğ, A , Tur, S , Başar, H . "The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters" . Journal of Surgery and Medicine 2 (2018 ): 310-314 <https://jsurgmed.com/en/pub/issue/36726/436032>
Chicago Uyar Türkyılmaz, H , Göktuğ, A , Tur, S , Başar, H . "The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters". Journal of Surgery and Medicine 2 (2018 ): 310-314
RIS TY - JOUR T1 - The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters AU - Havva Esra Uyar Türkyılmaz , Asutay Göktuğ , Selçuk Tur , Hülya Başar Y1 - 2018 PY - 2018 N1 - doi: 10.28982/josam.436032 DO - 10.28982/josam.436032 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 310 EP - 314 VL - 2 IS - 3 SN - -2602-2079 M3 - doi: 10.28982/josam.436032 UR - https://doi.org/10.28982/josam.436032 Y2 - 2018 ER -
EndNote %0 Journal of Surgery and Medicine The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters %A Havva Esra Uyar Türkyılmaz , Asutay Göktuğ , Selçuk Tur , Hülya Başar %T The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters %D 2018 %J Journal of Surgery and Medicine %P -2602-2079 %V 2 %N 3 %R doi: 10.28982/josam.436032 %U 10.28982/josam.436032
ISNAD Uyar Türkyılmaz, Havva Esra , Göktuğ, Asutay , Tur, Selçuk , Başar, Hülya . "The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters". Journal of Surgery and Medicine 2 / 3 (September 2018): 310-314 . https://doi.org/10.28982/josam.436032
AMA Uyar Türkyılmaz H , Göktuğ A , Tur S , Başar H . The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters. J Surg Med. 2018; 2(3): 310-314.
Vancouver Uyar Türkyılmaz H , Göktuğ A , Tur S , Başar H . The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters. Journal of Surgery and Medicine. 2018; 2(3): 310-314.
IEEE H. Uyar Türkyılmaz , A. Göktuğ , S. Tur and H. Başar , "The effect of CPAP during preoxygenation and PEEP during induction upon the duration of non-hypoxic apnea and hemodynamic parameters", Journal of Surgery and Medicine, vol. 2, no. 3, pp. 310-314, Sep. 2018, doi:10.28982/josam.436032