Indian Journal of Clinical Anaesthesia


Is four vital capacity breath pre-oxygenation technique useful?: A study


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Author Details: Prashant Raosaheb Ginimuge, Chaitanya Kamat

Volume : 3

Issue : 4

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 568

Article End Page : 571


Abstract

Background: Many techniques of pre-oxygenation have been proposed and followed world-wide. 3–5 minutes of tidal volume pre-oxygenation is the most preferred technique of choice for pre-oxygenation. This technique may not be feasible in emergency situations. Hence this study was conducted to evaluate the efficacy and utility of four vital capacity breath pre-oxygenation technique, as its less time consuming.
Methods: Fifty American Society of Anesthesiologists grade I and II patients in the age group of 20–40 years were studied under two groups of 25 each. Group I did not receive any pre-oxygenation and group II received pre-oxygenation in the form of four vital capacity breaths in 30 seconds. Rescue breaths with 100% oxygen were administered to all those patients whose oxygen saturation dropped below 75%.
Results: It was observed that after one minute of post induction apnea, patients in group I had a reduction in oxygen saturation to a mean of 79.92±3.328%, in comparison to 87.24±2.368% in group II. It was also observed that vital parameters at the end of 1 min of apnea were close to baseline values in group II. The results were analysed using the "Analysis of Variance" (ANOVA) method.
Conclusions: Pre-oxygenation with four vital capacity breaths does prolong the onset of desaturation and thus can be useful in emergency situations where time is precious.

Keywords: Pre-oxygenation, Oxygen saturation, General anaesthesia, Four vital capacity breaths, Desaturation