<Originals>Risk factors for early postoperative hypoxemia in the recovery room
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概要
- 論文の詳細を見る
Hypoxemia in the early postoperative period, i.e., following the termination of anesthesia until release from the recovery room, is a potensially serious complication after general anesthesia. Several risk factors have been considered responsible for the pathogenesis of early postoperative hypoxemia. The retrospective study was conducted to identify significant risk factors in a group of 180 patients who developed early postoperative hypoxemia (PaO_2<80 mmHg) under face mask filled with oxygen in the recovery room between October 1991 and November 1993. For comparison, 200 patients with PaO_2≩80 mmHg treated with face mask oxygen during the same pariod were randomly selected as controls. The risk factors analyzed were age (≩70 or <70 years), body weight, Broca index(≩20% or<20%), % vital copacity, forced expiratory volume, duration of anesthesia, site of surgeries, and type of anesthesia. There was a significant difference between the two groups in age, body weight and the incidence of Broca index. The incidence of preoperative hyporespiratory function increased the risk in patients with postoperative hypoxemia. A significant incidence of upper abdominal surgery was also found in these patients. The duration of surgery and type of anesthesia were not significant risk factors. In conclusion, preoperative risk factors for the development of postoperative hypoxemia in the recovery room identified in the study were advanced age, obesity and preoperative hyporespiratory function, and a highly significant intraoperative risk fator identified was major abdominal surgery. We believe that a complex interplay of several factors rather than a single factor contributes to the development of postoperative hypoxemia.
- 近畿大学の論文
著者
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ONO Minoru
Department of Cardiothoracic Surgery, The University of Tokyo
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Okuda Takahiko
Department of Anesthesiology, Nara Hospital Kinki University School of Medicine
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Koga Yoshihisa
Department of Anesthesiology, Kinki University School of Medicine
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Koga Yoshihisa
Department Of Anesthesiology School Of Medicine Kinki University
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Koga Yoshihisa
Department Of Anesthesiology Kinki University School Of Medicine
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Okuda Takahiko
Department Of Anesthesiology School Of Medicine Kinki University
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Okuda Takahiko
Department Of Anesthesiology Kinki University School Of Medicine
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Uno Hiroshi
Department of Anesthesiology, Kinki University School of Medicine
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IZUMI Takafumi
Department of Anesthesiology, Kinki University School of Medicine
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KUMODE Osamu
Department of Anesthesiology, Kinki University School of Medicine
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Okuda Takahiro
Department Of Anesthesiology School Of Medicine Kinki University
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KAWATA Keiji
Department of Anesthesiology, School of Medicine, Kinki University
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WAKITA Katsutoshi
Department of Anesthesiology, Kinki University School of Medicine
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ARIMITSU Masashi
Department of Anesthesiology, Kinki University School of Medicine
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Ono Minoru
Department Of Anesthesiology Kinki University School Of Medicine
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Ono Minoru
Department Of Anesthesiology Kaizuka City Hospital
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Uno Hiroshi
Department Of Anesthesiology Kinki University School Of Medicine
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Uno Hiroshi
Corporate Research And Development Group Sharp Corporation
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Kawata Keiji
Department Of Anesthesiology School Of Medicine Kinki University
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Kumode O
Kinki Univ. Osaka Jpn
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Kumode Osamu
Department Of Anesthesia Sakai Hospital In Institute Of Basic-clinical Medicine Kinki University
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Izumi T
Department Of Anesthesiology Kinki University School Of Medicine
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Izumi Takafumi
Department Of Anesthesiology Kinki University School Of Medicine
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WAKITA Katutoshi
Department of Anesthesiology, Kinki University School of Medicine
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Uno H
Corporate Research And Development Group Sharp Corporation
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Arimitsu Masashi
Department Of Anesthesiology Kinki University School Of Medicine
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Wakita Katsutoshi
Department Of Anesthesia Sakai Hospital In Institute Of Basic-clinical Medicine Kinki University
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Koga Yoshihisa
Department Of Anesthesiology Kinki University Faculty Of Medicine
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