• Anaesthesia · Oct 1991

    Comparative Study

    A comparison of different pre-oxygenation techniques in the elderly.

    • G McCarthy, P Elliott, R K Mirakhur, and C McLoughlin.
    • Department of Anaesthetics, Queen's University of Belfast.
    • Anaesthesia. 1991 Oct 1; 46 (10): 824-7.

    AbstractThe efficacy of five different techniques of pre-oxygenation before a modified rapid intubation sequence was assessed, using oxygen saturation measurement, in patients aged over 65 years. Twenty patients in each group were pre-oxygenated using four deep breaths or normal tidal breathing for 1, 2, 3, or 4 minutes. The acceptable period of apnoea was defined as the time taken to desaturate to 93%. The mean times (SD) taken to reach this end-point were 3.7 (1.6), 4.1 (1.2), 5.4 (1.7), 5.4 (1.4) and 5.2 (1.7) minutes respectively. The apnoea times with 2, 3 and 4 minutes pre-oxygenation were not significantly different from each other but were significantly longer than after four deep breaths and 1 minute. It is concluded that a pre-oxygenation period of at least 2 minutes should be employed in the elderly before a rapid sequence induction.

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