ปัจจัยที่มีผลต่อการเกิดภาวะออกซิเจนในเลือดต่ำหลังการได้รับ การระงับความรู้สึก ในห้องพักฟื้น โรงพยาบาลบุรีรัมย์ พ.ศ. 2550
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Abstract
Background: Oxygen desaturation is a major problem in the immediate post operative period, which lead to serious complications unless detected and treatment early.
Objective: To determine factors related to oxygen desaturation in recovery room at Burirum hospital.
Material and Method: All anesthetic patients, who were admitted to the recovery room between 1 April 2007 to 15 July 2007 were included prospectively. Following factors were recorded, patients characteristics (age, gender, ASA physical status, underlying disease), surgical related factors, anesthesia related factors, Post Anesthetic Recovery score (PAR score) and oxygen desaturation. Factors potentially associated with oxygen desaturation were assessed by using Chi-square test or Fisher's exact test when appropriated.
Results: Incidence of oxygen desaturation was 1.34%. Factors associated with oxygen desaturation were PAR score < 6 (P < 0.001, RR = 98.93, 95% CI = 39.84-245.66), hypoventilation (P < 0.001, RR = 185.25, 95% CI = 69.71-492.28) and history of pulmonary TB or pneumonia (P = 0.008, RR = 16.73, 95% CI = 4-69.94)
Conclusion: Most of the risk factors of oxygen desaturation in recovery room at Burirum hospital were preventable and correctable. The anesthetists should be alert all time to early detect and promptly management before lead to serious outcomes.
Keywords: Oxygen desaturation, Risk factors, Recovery room, Anesthesia
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References
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