Ho Sin-Yee, French Peter
Hong Kong Eye Hospital, Kowloon, Hong Kong SAR, China.
Clin Nurs Res. 2002 Nov;11(4):387-402. doi: 10.1177/105477302237452.
Supplemental oxygen under the drapes in high concentrations can lead to fires in ophthalmic theaters. This study attempted to eliminate the fire risk while maintaining the required therapeutic effect. The sample consisted of 201 patients undergoing ophthalmic surgery, with 104 subjects in the control group and 97 in the experimental group. A quasi-experimental design compared the existing method of oxygen administration (100% supply) with a new method (experimental) providing 24% oxygen supply. Measurements of the oxygen concentration were taken along with the fractional inspiratory carbon dioxide (FiCO2), the peripheral oxygen saturation (SpO2), the end tidal carbon dioxide (ETCO2), and the respiratory rate (RR). There was a significant difference in oxygen and carbon dioxide concentrations under the drapes (p <.05). The fractional inspiratory carbon dioxide was reduced in the experimental group. The new method was adopted to reduce the risk of fire in ophthalmic operating theaters.
手术单下高浓度的补充氧气可导致眼科手术室起火。本研究试图在维持所需治疗效果的同时消除火灾风险。样本包括201例接受眼科手术的患者,其中对照组有104名受试者,实验组有97名。采用准实验设计,将现有的氧气供应方法(100%供应)与提供24%氧气供应的新方法(实验组)进行比较。同时测量氧气浓度、吸入二氧化碳分数(FiCO2)、外周血氧饱和度(SpO2)、呼气末二氧化碳(ETCO2)和呼吸频率(RR)。手术单下的氧气和二氧化碳浓度存在显著差异(p<.05)。实验组的吸入二氧化碳分数降低。采用新方法以降低眼科手术室的火灾风险。