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Turk J Anaesthesiol Reanim. 2018 Dec;46(6):416-423. doi: 10.5152/TJAR.2018.82160. Epub 2018 Mar 01.

Identification of Various Perioperative Risk Factors Responsible for Development of Postoperative Hypoxaemia.

Turkish journal of anaesthesiology and reanimation

Ashutosh Kaushal, Puneet Goyal, Sanjay Dhiraaj, Aarti Agarwal, Prabhat Kumar Singh

Affiliations

  1. Department of Neuro Anaesthesiology, CN Centre, All India Institute of Medical Sciences, New Delhi, India.
  2. Department of Anaesthesiology and Intensive Care, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

PMID: 30505603 PMCID: PMC6223866 DOI: 10.5152/TJAR.2018.82160

Abstract

OBJECTIVE: Identification of risk factors that might be responsible for postoperative hypoxaemia, in view of changing profile of surgical patients and better but more complex perioperative care nowadays.

METHODS: We conducted a prospective observational study that included patients aged 18-65 years, who underwent elective surgery and required general anaesthesia. Oxygen saturation was monitored before the induction in operating room and continued 72 hours post-surgery. Patients were maintained on room air if SpO

RESULTS: Out of 452 patients, 61 developed SpO

CONCLUSION: The risk of postoperative hypoxaemia was highest in patients aged 51-65 years, BMI higher than 30, current and former smokers, pre-existing respiratory disease, chronic obstructive pulmonary disease, patients with 96% oxygen saturation or less at baseline or after shifting to PACU. The type of surgical incision, duration of surgery and dose of opioids administered were not independent risk factors.

Keywords: Postoperative hypoxaemia; oxygen therapy; respiratory complications; risk factors for perioperative hypoxaemia

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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