Research Progress on the Current Status and Intervention Strategies of Hypoxaemia in General Anaesthesia Patients during the Postoperative Awakening Period

Authors

  • Yunshi Wei Youjiang Medical University for Nationalities, Baise 533000, Guangxi, China
  • Ya Xiang Youjiang Medical University for Nationalities, Baise 533000, Guangxi, China
  • Liu He Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi, China
  • Chaoling Ling Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi, China
  • Fangyin Liu Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi, China

DOI:

https://doi.org/10.53469/jcmp.2024.06(09).17

Keywords:

General anesthesia, Awakening period, Hypoxemia, Influencing factors, Interventions, Review

Abstract

To introduce the current situation of the occurrence of postoperative hypoxemia during the awakening period of general anesthesia patients, to analyze the influencing factors of the occurrence of hypoxemia during the awakening period of general anesthesia patients, and to summarize the intervention strategies of hypoxemia during the awakening period of general anesthesia patients, with a view to promoting the medical personnel's understanding of the risk factors of hypoxemia during the awakening period of general anesthesia patients, and to provide references for the development of reasonable intervention programs in the future.

References

BERHANU M, DADI N, MENGISTU B, et al. Magnitude of early postoperative hypoxemia and its associated factors among adult patients who undergo emergency surgery under general anesthesia at Jimma Medical Center, Jimma, Southwest Ethiopia, 2021: a prospective observational study [J]. Perioperative Medicine (London, England), 2023, 12(1): 1.

MELESSE D Y, DENU Z A, KASSAHUN H G, et al. The incidence of early post-operative hypoxemia and its contributing factors among patients underwent operation under anesthesia at University of Gondar comprehensive and specialized referral hospital, Gondar, North West Ethiopia, 2018. A prospective observational study [J]. International Journal of Surgery Open, 2020, 22: 38-46.

DUAN X-Z, ZHANG X, TONG D-K, et al. Risk factors for and predictive nomogram of postoperative hypoxaemia in elderly patients with femoral neck fractures [J]. The Journal of International Medical Research, 2020, 48(10): 300060520945132.

MATTHAY M A, ARABI Y, ARROLIGA A C, et al. A New Global Definition of Acute Respiratory Distress Syndrome [J]. American Journal of Respiratory and Critical Care Medicine, 2024, 209(1): 37-47.

BERHANU M, DADI N, MENGISTU B, et al. Magnitude of early postoperative hypoxemia and its associated factors among adult patients who undergo emergency surgery under general anesthesia at Jimma Medical Center, Jimma, Southwest Ethiopia, 2021: a prospective observational study [J]. Perioperative Medicine (London, England), 2023, 12(1): 1.

SALIK I, DOHERTY T M. Mendelson Syndrome [M/OL]//StatPearls. Treasure Island (FL): StatPearls Publishing, 2024 [2024-08-29].

ANDUALEM A A, YESUF K A. Incidence and associated factors of postoperative hypoxemia among adult elective surgical patients at Dessie Comprehensive Specialized Hospital: An observational study [J]. Annals of Medicine and Surgery (2012), 2022, 78: 103747.

GERALDES R, ESIRI M M, DELUCA G C, et al. Age-related small vessel disease: a potential contributor to neurodegeneration in multiple sclerosis [J]. Brain Pathology (Zurich, Switzerland), 2017, 27(6): 707-722.

HALLER K, TRAUZEDDEL R F, TRESKATSCH S, et al. [Risk factors for postoperative hypoxemia during transport to the postanesthesia care unit and influence of transport monitoring : A retrospective propensity score-matched databank analysis] [J]. Die Anaesthesiologie, 2023, 72(7): 488-497.

KENDALE S M, BLITZ J D. Increasing body mass index and the incidence of intraoperative hypoxemia [J]. Journal of Clinical Anesthesia, 2016, 33: 97-104.

TAMISIER R, BOCQUILLON V, TREPTOW E, et al. Prevalence and Factors Contributing to Daytime and Nocturnal Hypoxemia in Chronic Heart Failure Patients [J]. Respiration; International Review of Thoracic Diseases, 2019, 97(3): 213-222.

SUD S, FAN E, ADHIKARI N K J, et al. Comparison of venovenous extracorporeal membrane oxygenation, prone position and supine mechanical ventilation for severely hypoxemic acute respiratory distress syndrome: a network meta-analysis [J]. Intensive Care Medicine, 2024, 50(7): 1021-1034.

KIM T, YEO H J, SON B S, et al. Prone Positioning as a Bridge to Recovery From Refractory Hypoxemia After Oversized Lung Transplant [J]. Transplantation Proceedings, 2021, 53(1): 273-275.

YANG C K, TENG A, LEE D Y, et al. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis [J]. The Journal of Surgical Research, 2015, 198(2): 441-449.

ALESSANDRI F, PUGLIESE F, RANIERI V M. The Role of Rescue Therapies in the Treatment of Severe ARDS [J]. Respiratory Care, 2018, 63(1): 92-101.

SAHA S, JEBRAN A F, LEISTNER M, et al. Turning Things Around: The Role of Prone Positioning in the Management of Acute Respiratory Failure After Cardiac Surgery [J]. Journal of Cardiothoracic and Vascular Anesthesia, 2020, 34(6): 1434-1438.

KIM T, YEO H J, SON B S, et al. Prone Positioning as a Bridge to Recovery From Refractory Hypoxemia After Oversized Lung Transplant [J]. Transplantation Proceedings, 2021, 53(1): 273-275.

YOUNG C C, HARRIS E M, VACCHIANO C, et al. Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations [J]. British Journal of Anaesthesia, 2019, 123(6): 898-913.

LEE J-H, CHOI S, JI S-H, et al. Effect of an ultrasound-guided lung recruitment manoeuvre on postoperative atelectasis in children: A randomised controlled trial [J]. European Journal of Anaesthesiology, 2020, 37(8): 719-727.

SUN L, WANG J, WEI P, et al. Randomized Controlled Trial Investigating the Impact of High-Flow Nasal Cannula Oxygen Therapy on Patients Undergoing Robotic-Assisted Laparoscopic Rectal Cancer Surgery, with a Post-Extubation Atelectasis as a Complication [J]. Journal of Multidisciplinary Healthcare, 2024, 17: 379-389.

WEI W, LI X, XU X Y, et al. [Effects of high-flow nasal oxygen combined with early extubation on the incidence of respiratory adverse events during emergence from general anesthesia in children undergoing adenoid-tonsillectomy] [J]. Zhonghua Yi Xue Za Zhi, 2022, 102(21): 1584-1589.

XU L, WEI N, SHAN M, et al. [High-flow nasal cannula oxygen therapy can reduce occurrence of hypoxia in elderly patients during anesthesia recovery] [J]. Nan Fang Yi Ke Da Xue Xue Bao = Journal of Southern Medical University, 2021, 41(8): 1265-1269.

LEE J-H, JI S-H, JANG Y-E, et al. Application of a High-Flow Nasal Cannula for Prevention of Postextubation Atelectasis in Children Undergoing Surgery: A Randomized Controlled Trial [J]. Anesthesia and Analgesia, 2021, 133(2): 474-482.

FORSBERG I-M, MKRTCHIAN S, EBBERYD A, et al. Biomarkers for oxidative stress and organ injury during Transnasal Humidified Rapid-Insufflation Ventilatory Exchange compared to mechanical ventilation in adults undergoing microlaryngoscopy: A randomised controlled study [J]. Acta Anaesthesiologica Scandinavica, 2021, 65(9): 1276-1284.

LOCKSTONE J, PARRY S M, DENEHY L, et al. Non-Invasive Positive airway Pressure thErapy to Reduce Postoperative Lung complications following Upper abdominal Surgery (NIPPER PLUS): a pilot randomised control trial [J]. Physiotherapy, 2022, 117: 25-34.

ELMOAQET H, TILBURY D M, RAMACHANDRAN S K. Effect of concurrent oxygen therapy on accuracy of forecasting imminent postoperative desaturation [J]. Journal of Clinical Monitoring and Computing, 2015, 29(4): 521-531.

SILVEIRA S Q, NERSESSIAN R S F, ABIB A DE C V, et al. Decreasing inconsistent alarms notifications: a pragmatic clinical trial in a post-anesthesia care unit [J]. Brazilian Journal of Anesthesiology, 2023, 74(3): 744456.

CERECEDA-SÁNCHEZ F J, MOLINA-MULA J. Capnography as a tool to detect metabolic changes in patients cared for in the emergency setting [J]. Revista Latino-Americana De Enfermagem, 2017, 25: e2885.

GAVITT L N, TOLA D H, FUNK E, et al. Implementation of Continuous Capnography Protocol in a Postanesthesia Care Unit for Adult Patients at High-risk of Postoperative Respiratory Depression [J]. Journal of PeriAnesthesia Nursing, 2024: S1089947224000571.

GALVAGNO S M, DUKE P G, EVERSOLE D S, et al. Evaluation of respiratory volume monitoring (RVM) to detect respiratory compromise in advance of pulse oximetry and help minimize false desaturation alarms [J]. The Journal of Trauma and Acute Care Surgery, 2016, 81(5 Suppl 2 Proceedings of the 2015 Military Health System Research Symposium): S162-S170.

Downloads

Published

2024-09-26

How to Cite

Wei, Y., Xiang, Y., He, L., Ling, C., & Liu, F. (2024). Research Progress on the Current Status and Intervention Strategies of Hypoxaemia in General Anaesthesia Patients during the Postoperative Awakening Period. Journal of Contemporary Medical Practice, 6(9), 84–88. https://doi.org/10.53469/jcmp.2024.06(09).17