Obesity, epidural analgesia, and subcostal incision are risk factors for postoperative desaturation

Canadian Journal of Anesthesia

Volumn 57, Issue 5, 2010, Pages 415-422

  Siriussawakul, Arunotai ^a   Mandee, Sahatsa ^a   Thonsontia, Jathuporn ^a   Vitayaburananont, Piyasak ^a   Areewatana, Somsak ^a   Laonarinthawoot, Jaruwan ^a  

^a MAHIDOL UNIVERSITY   (Thailand)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; FENTANYL; MORPHINE;

ABDOMINAL SURGERY; ADULT; AGE; ARTERIAL OXYGEN DESATURATION; ARTERIAL OXYGEN SATURATION; ARTICLE; BLEEDING; CONTINUOUS INFUSION; DESCRIPTIVE RESEARCH; DRUG DOSE TITRATION; EPIDURAL ANESTHESIA; FEMALE; HUMAN; HYPOXEMIA; INCISION; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MALE; NIGHT; OBESITY; OPERATION DURATION; OXYGENATION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RISK FACTOR; SMOKING; SUBCOSTAL INCISION;

ABDOMEN; ADULT; AGE FACTORS; AGED; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; BLOOD LOSS, SURGICAL; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; INCIDENCE; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OBESITY; OXYGEN; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RISK FACTORS; SMOKING; TIME FACTORS;

EID: 77953293737     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s12630-010-9279-3     Document Type: Article

References (26)

1. JN Siler H Rosenberg TD Mull JA Kaplan H Bardin BE Marshall 1974 Hypoxemia after upper abdominal surgery: comparison of venous admixture and ventilation-perfusion inequality components, using a digital computer Ann Surg 179 149 155 10.1097/00000658-197402000-00006 1:STN:280:DyaE2c%2Fos1yrug%3D%3D 4811044
2. N Kaibara N Iwai O Nishimura, et al. 1981 Pulmonary function before and after abdominal surgery in the aged Jpn J Surg 11 73 79 10.1007/BF02468872 1:STN:280:DyaL38%2FlsF2ktg%3D%3D 7300060 (Pubitemid 11080123)
3. N Hara T Furukawa T Yoshida K Inokuchi 1981 Relationship between postoperative hypoxemia and the operative site Jpn J Surg 11 317 322 10.1007/BF02468954 1:STN:280:DyaL38%2FnvVKlsg%3D%3D 6796740
4. GT Ford WA Whitelaw TW Rosenal PJ Cruse CA Guenter 1983 Diaphragm function after upper abdominal surgery in humans Am Rev Respir Dis 127 431 436 1:STN:280:DyaL3s7ns1Ggug%3D%3D 6838049
5. J Rosenberg GI Rasmussen KR Wojdemann LT Kirkeby LN Jorgensen H Kehlet 1999 Ventilatory pattern and associated episodic hypoxaemia in the late postoperative period in the general surgical ward Anaesthesia 54 323 328 10.1046/j.1365-2044.1999.00744.x 1:STN:280:DyaK1MzosVOksw%3D%3D 10455829 (Pubitemid 29154998)
6. BM Lewer PD Larsen JM Torrance DC Galletly 1998 Artefactual episodic hypoxaemia during postoperative respiratory monitoring Can J Anaesth 45 182 185 10.1007/BF03013261 1:STN:280:DyaK1c7nsVSgtw%3D%3D 9512857
7. DM Popping N Elia E Marret C Remy MR Tramer 2008 Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: A meta-analysis Arch Surg 143 990 999 10.1001/archsurg.143.10.990 18936379
8. J Wetterslev EG Hansen M Kamp-Jensen O Roikjaer IL Kanstrup 2000 PaO2 during anaesthesia and years of smoking predict late postoperative hypoxaemia and complications after upper abdominal surgery in patients without preoperative cardiopulmonary dysfunction Acta Anaesthesiol Scand 44 9 16 10.1034/j.1399-6576.2000.440103.x 1:STN:280:DC%2BD3c7jt1Onuw%3D%3D 10669265 (Pubitemid 30016641)
9. FS Xue BW Li GS Zhang, et al. 1999 The influence of surgical sites and early postoperative hypoxemia in adults undergoing elective surgery Anesth Analg 88 213 219 10.1097/00000539-199901000-00040 1:STN:280:DyaK1M7htVertA%3D%3D 9895095 (Pubitemid 29025176)
10. I Gogenur S Rosenberg-Adamsen C Lie M Carstensen V Rasmussen J Rosenberg 2004 Relationship between nocturnal hypoxaemia, tachycardia and myocardial ischaemia after major abdominal surgery Br J Anaesth 93 333 338 10.1093/bja/aeh208 1:STN:280:DC%2BD2cvgtVyiuw%3D%3D 15247116 (Pubitemid 39206892)
11. JB Gross KL Bachenberg JL Benumof, et al. 2006 American Society of Anesthesiologists Task Force on Perioperative Management. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: A report by the American Society of Anesthesiologists Task Force on perioperative management of patients with obstructive sleep apnea Anesthesiology 104 1081 1093 10.1097/00000542-200605000-00026 16645462
12. MJ Grap 2002 Pulse oximetry Crit Care Nurse 22 69 74
13. Feeley TW, Macario A. The postanesthesia care unit. In: Miller R (Ed.). Miller's Anesthesia. Philadelphia, PA: Elsevier; 2005: 2709.
14. J Rosenberg V Rasmussen F von Jessen T Ullstad H Kehlet 1990 Late postoperative episodic and constant hypoxaemia and associated ECG abnormalities Br J Anaesth 65 684 691 10.1093/bja/65.5.684 1:STN:280:DyaK3M%2FmsVWkuw%3D%3D 2248847
15. Monk TG. Postoperative cognitive disorders. Available from URL: http://www.cas.ca/annual-meeting/refresher-courses/pdf/refresher-course9.pdf (accessed January 2010).
16. T Nakajima K Kawazoe H Izumoto T Kataoka H Niinuma N Shirahashi 2006 Risk factors for hypoxemia after surgery for acute type A aortic dissection Surg Today 36 680 685 10.1007/s00595-006-3226-5 16865510 (Pubitemid 44127335)
17. P Khan N Aziz 2004 Incidence of hypoxemia in the recovery room following upper abdominal surgery J Postgrad Med 18 188 195
18. P Mueller 2007 Postoperative hypoxaemia Anaesthesiol Intensive Ther 3 155 177
19. Katz MH. Multivariable Analysis: A Practical Guide for Clinicians, 2nd ed. Cambridge, Cambridge University Press; 1999: 77-81.
20. JH Eichhorn 1998 Pulse oximetry monitoring and late postoperative hypoxemia on the general care floor J Clin Monit Comput 14 49 55 10.1023/A:1007491404483 1:STN:280:DyaK1c3otF2htQ%3D%3D 9641856
21. I Goegenur S Rosenberg-Adamsen C Lie V Rasmussen J Rosenberg 2002 Lack of circadian variation in the activity of the autonomic nervous system after major abdominal operations Eur J Surg 168 242 246 10.1080/11024150260102861 (Pubitemid 34879397)
22. LP Aakerlund J Rosenberg 1994 Postoperative delirium: treatment with supplementary oxygen Br J Anaesth 72 286 290 10.1093/bja/72.3.286 1:STN:280:DyaK2c7ns1ejuw%3D%3D 8130045
23. RW Wahba 1991 Perioperative functional residual capacity Can J Anaesth 8 384 400 10.1007/BF03007630
24. JG Stone K Cozine A Wald 1999 Nocturnal oxygenation during patient-controlled analgesia Anesth Analg 89 104 110 10.1097/00000539-199907000- 00018 1:STN:280:DyaK1Mzhs1Knug%3D%3D 10389786 (Pubitemid 29293316)
25. S Rosenberg-Adamsen H Kehlet C Dodds J Rosenberg 1996 Postoperative sleep disturbances: mechanism and clinical implications Br J Anaesth 76 552 559 1:STN:280:DyaK283mt12msg%3D%3D 8652329
26. LH Lundstrom E Nygard LB Hviid, et al. 2005 The effect of thoracic epidural analgesia on the occurrence of late postoperative hypoxemia in patients undergoing elective coronary bypass surgery: A randomized controlled trial Chest 128 1564 1570 10.1378/chest.128.3.1564 16162759 (Pubitemid 41324448)