The Influence of Deep Breathing and Encouraged Cough on the Arterial Oxygen Saturation in Patients Following Upper Abdominal Surgery.
10.4097/kjae.1993.26.5.1004
- Author:
Young Man KIM
1
;
Sung Hee KANG
;
Kyung Han KIM
;
Tae Ho CHANG
;
Se Hwan KIM
Author Information
1. Department of Anesthesiology, Kosin Medical College, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Deep breathing;
Encouraged cough;
General anesthesia;
SpO2;
Upper abdominal surgery
- MeSH:
Anesthesia;
Anesthesia, General;
Cough*;
Humans;
Oxygen*;
Recovery Room;
Respiration*
- From:Korean Journal of Anesthesiology
1993;26(5):1004-1015
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To investigate the effect of deep breathing and encouraged coughing on the arterial oxygenation in patients following upper abdominal surgery under general anesthesia, 80 patients were chosen and divided into 4 groups according to the therapy modalities given during the recovery mom care ; group 1: spontaneous recovery, group 2: oxygen, group 3: cough with deep breathing, and group 4: oxygen plus cough with deep breathing. Oxygen saturation (SpO2 by pulse oximeter) was monitored before anesthesia (control) and over a 24 hour period after operation. S values decreased on arrival in the recovery room after anesthesia in all groups (p<0.05). As patients awakened from anesthesia in the recovery room, SpO2 values were progressively increased to near preanesthetic values in the non-oxygen groups (Group 1, 3) and increased even above preanesthtic values in the oxygen groups (Group 2, 4) SpO2 values at 24-hours after operation were 97.0% in Group 1, 96.9% in Group 2, 97.8% in Group 3, and 97.5% in GRoup 4; therefore Group 3 had the highest value of SpO2 (p<0.05), In conclusion, deep breathing with cough encouragement in the recovery room seemed to be associated with better oxygenation 24 hours postanesthetically than supplemental oxygen or natural recovery groups.
