Yoo Seung Hee, Yoon In-Young, Kim Dong Yeon, Cho Sooyoung
Department of Anesthesiology and Pain Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Ewha Med J. 2024 Apr;47(2):e26. doi: 10.12771/emj.2024.e26. Epub 2024 Apr 30.
OxyMask, a novel product, has recently been used to administer oxygen postoperatively to patients who have undergone general anesthesia. This study aimed to evaluate the incidence of hypoxia in patients under general anesthesia upon arrival to the post-anesthesia care unit (PACU) using arterial blood gas analysis, and to compare the effectiveness of OxyMask with a non-rebreathing oxygen mask for oxygen administration.
We retrospectively investigated anesthesia-related data from the electronic medical records of 460 patients treated from April to November 2021. We analyzed patients aged 20 years or older who had undergone general anesthesia and whose perioperative arterial blood gas analysis results were available upon arrival to the PACU. These patients were grouped into the non-rebreathing oxygen mask (n=223) and OxyMask (n=237) groups, and statistical analysis was performed utilizing their anesthesia records.
No patients exhibited hypoxia upon arrival to the recovery room. The oxygen concentration increased after oxygen administration; its concentration during the recovery room period (Δ2 PaO) was 10.7±42.3 and 13.9±38.5 mmHg in the non-rebreathing oxygen mask and OxyMask groups, respectively. This difference was not statistically significant. Moreover, the arterial oxygen saturation between the end of surgery and upon arrival to the PACU (Δ1 SaO) and the arterial oxygen saturation 20 minutes after oxygen administration at the PACU (Δ2 SaO) did not significantly differ between the groups.
OxyMask was not superior to a non-rebreathing oxygen mask in terms of the effectiveness of oxygen supply.
新型产品OxyMask最近被用于对接受全身麻醉的患者术后进行氧气给药。本研究旨在通过动脉血气分析评估全身麻醉患者到达麻醉后护理单元(PACU)时缺氧的发生率,并比较OxyMask与无重复呼吸氧气面罩在氧气给药方面的有效性。
我们回顾性调查了2021年4月至11月治疗的460例患者电子病历中的麻醉相关数据。我们分析了年龄在20岁及以上、接受全身麻醉且到达PACU时围手术期动脉血气分析结果可用的患者。这些患者被分为无重复呼吸氧气面罩组(n = 223)和OxyMask组(n = 237),并利用其麻醉记录进行统计分析。
到达恢复室时无患者出现缺氧。吸氧后氧浓度升高;在恢复室期间其浓度(Δ2 PaO)在无重复呼吸氧气面罩组和OxyMask组中分别为10.7±42.3和13.9±38.5 mmHg。这种差异无统计学意义。此外,手术结束时与到达PACU时的动脉血氧饱和度(Δ1 SaO)以及在PACU吸氧20分钟后的动脉血氧饱和度(Δ2 SaO)在两组之间无显著差异。
在氧气供应有效性方面,OxyMask并不优于无重复呼吸氧气面罩。