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Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study
BACKGROUND: Oxygen supplementation through Hudson type face mask is frequently used in perioperative settings. Hudson mask is a variable rate performance device with the risk of rebreathing. Studies using capnography to find out an actual fraction of rebreathing in spontaneously breathing patients a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490145/ https://www.ncbi.nlm.nih.gov/pubmed/28663642 http://dx.doi.org/10.4103/aer.AER_29_17 |
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author | Kurhekar, Pranjali Prasad, T. Krishna Rajarathinam, Buddhan Raghuraman, M. S. |
author_facet | Kurhekar, Pranjali Prasad, T. Krishna Rajarathinam, Buddhan Raghuraman, M. S. |
author_sort | Kurhekar, Pranjali |
collection | PubMed |
description | BACKGROUND: Oxygen supplementation through Hudson type face mask is frequently used in perioperative settings. Hudson mask is a variable rate performance device with the risk of rebreathing. Studies using capnography to find out an actual fraction of rebreathing in spontaneously breathing patients are not available. AIMS: In this study, we analyzed the effects of different flow rates through Hudson mask with capnography on fractional inspired carbon dioxide (FiCO(2)). SETTING AND DESIGNS: Forty patients posted for minor surgeries under monitored anesthesia care were divided into four groups. They received oxygen flow rate of 3 L/min, 4 L/min, 5 L/min, and 6 L/min as per group division, through Hudson mask. MATERIALS AND METHODS: Parameters such as pulse rate, noninvasive blood pressure, oxygen saturation, respiratory rate (RR), end-tidal carbon dioxide (EtCO(2)), and FiCO(2) were noted at baseline. After starting oxygen supplementation, these parameters were monitored every minute for ten minutes. Statistical analysis was done using analysis of variance and Kruskal–Wallis test. Pearson correlation was used to establish a relation between RR and FiCO(2). RESULTS AND CONCLUSIONS: EtCO(2) and FiCO(2) were comparable in all four groups with no statistical significance. There was strong positive correlation seen between RR and FiCO(2) at a flow rate of 3 L/min while negative correlation in other groups. We conclude that FiCO(2) is similar at all flow rates while breathing through Hudson mask. Increase in RR can cause increase in FiCO(2) at lower flow rate, which is within physiological tolerance limits. |
format | Online Article Text |
id | pubmed-5490145 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-54901452017-06-29 Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study Kurhekar, Pranjali Prasad, T. Krishna Rajarathinam, Buddhan Raghuraman, M. S. Anesth Essays Res Original Article BACKGROUND: Oxygen supplementation through Hudson type face mask is frequently used in perioperative settings. Hudson mask is a variable rate performance device with the risk of rebreathing. Studies using capnography to find out an actual fraction of rebreathing in spontaneously breathing patients are not available. AIMS: In this study, we analyzed the effects of different flow rates through Hudson mask with capnography on fractional inspired carbon dioxide (FiCO(2)). SETTING AND DESIGNS: Forty patients posted for minor surgeries under monitored anesthesia care were divided into four groups. They received oxygen flow rate of 3 L/min, 4 L/min, 5 L/min, and 6 L/min as per group division, through Hudson mask. MATERIALS AND METHODS: Parameters such as pulse rate, noninvasive blood pressure, oxygen saturation, respiratory rate (RR), end-tidal carbon dioxide (EtCO(2)), and FiCO(2) were noted at baseline. After starting oxygen supplementation, these parameters were monitored every minute for ten minutes. Statistical analysis was done using analysis of variance and Kruskal–Wallis test. Pearson correlation was used to establish a relation between RR and FiCO(2). RESULTS AND CONCLUSIONS: EtCO(2) and FiCO(2) were comparable in all four groups with no statistical significance. There was strong positive correlation seen between RR and FiCO(2) at a flow rate of 3 L/min while negative correlation in other groups. We conclude that FiCO(2) is similar at all flow rates while breathing through Hudson mask. Increase in RR can cause increase in FiCO(2) at lower flow rate, which is within physiological tolerance limits. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5490145/ /pubmed/28663642 http://dx.doi.org/10.4103/aer.AER_29_17 Text en Copyright: © 2017 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Kurhekar, Pranjali Prasad, T. Krishna Rajarathinam, Buddhan Raghuraman, M. S. Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title | Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title_full | Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title_fullStr | Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title_full_unstemmed | Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title_short | Capnographic Analysis of Minimum Mandatory Flow Rate for Hudson Face Mask: A Randomized Double-blind Study |
title_sort | capnographic analysis of minimum mandatory flow rate for hudson face mask: a randomized double-blind study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490145/ https://www.ncbi.nlm.nih.gov/pubmed/28663642 http://dx.doi.org/10.4103/aer.AER_29_17 |
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