Chest or Abdominal Compression for Prevention of Respiratory Depression in Patients under Propofol Sedation during Gastroscopy
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.20220509.002
- VernacularTitle:胸腹按压对无痛胃镜患者丙泊酚镇静引起呼吸抑制的预防
- Author:
Xiamait AERDAKE
1
;
Jing-ru WEI
1
;
Tian-you LU
1
;
Kang-feng MAI
1
;
Jia-ai LI
1
;
Chao-jin CHEN
1
;
Zi-qing HEI
1
;
Xiao-yun LI
1
Author Information
1. Department of Anesthesiology， The Third Affiliated Hospital of Sun Yat-sen University， Guangzhou 510630， China
- Publication Type:Journal Article
- Keywords:
gastroscope;
propofol;
respiratory depression;
chest compression;
abdominal compression
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2022;43(4):631-638
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the preventive effects of chest compression， abdominal compression and combined thoracoabdominal compression on propofol-induced respiratory depression during gastroscopy. MethodsA total of 544 patients underwent propofol sedation during gastroscopy in our hospital were randomly divided into 4 groups （n=136 each）： Group C （control group）， Group T （chest compression group）， Group A （abdominal compression group） and T&A （combined thoracoabdominal compression group）. Altogether 20 chest， abdominal and combined thoracoabdominal compressions were started respectively on patients in Group T， A and T&A before performing gastroscopy and after unconsciousness at a rate of 30 compressions per minute with a compression depth of 2~3 cm. The incidence of oxygen desaturation （SpO22<95%） and hypoxemia （SpO2<90%） were compared among the groups. Incidence of gastroscope withdrawal and B-mode ultrasound assessment of diaphragm activity were observed. ResultsThere were statistical differences in the incidence of oxygen desaturation and hypoxemia among the four groups （P<0.05）. The incidence of oxygen desaturation in Group T and A were significantly lower than that in Group C （P<0.017）. B-ultrasonography revealed that the diaphragm activity in Group T and T&A were significantly higher than that in Group C （P＜0.01） and the patients in Group T had the highest diaphragm activity. ConclusionBoth chest compression and abdominal compression can reduce the incidence of respiratory depression induced by propofol in patients during gastroscopy， and chest compression is more effective.
