Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study
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| 024 | 7 | 0 | |a 10.1007/s10877-014-9620-4 |2 doi |
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| 245 | 0 | 0 | |a Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study |h [Elektronische Daten] |c [Hansjörg Aust, Peter Kranke, Leopold Eberhart, Arash Afshari, Frank Weber, Melanie Brieskorn, Julian Heine, Christian Arndt, Dirk Rüsch] |
| 520 | 3 | |a In Germany it is common practice to use pulse oximetry and supplementary oxygen only on request in patients breathing spontaneously transferred to the post-anaesthesia care unit (PACU) following surgery under general anaesthesia. The main aim was to study the influence of medical training and clinical experience on assessing SpO2 and detecting hypoxaemia in these patients. The second aim was to do a preliminary assessment whether this practice can be found in countries other than Germany. Anaesthetists, nurses and medical students estimated SpO2 in patients breathing room air at the end of transfer to the PACU following surgery (including all major surgical fields) under general anaesthesia. Estimated SpO2 was compared to SpO2 measured by pulse oximetry. A survey was carried out among European anaesthesists concerning the use of pulse oximetry and supplementary oxygen during patient transfer to the PACU. Hypoxaemia (SpO2<90%) occurred in 154 (13.5%) out of 1,138 patients. Anaesthetists, nurses, and medical students identified only 25, 23, and 21 patients of those as being hypoxaemic, respectively. Clinical experience did not improve detection of hypoxaemia both in anaesthetists (p=0.63) and nurses (p=0.18). Use of pulse oximetry and supplemental oxygen during patient transfer to the PACU in European countries differs to a large extent. It seems to be applied only on request in many hospitals. Considering the uncertainty about deleterious effects of transient, short lasting hypoxaemia routine use of pulse oximetry is advocated for patient transfer to the PACU. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Patient safety |2 nationallicence | |
| 690 | 7 | |a Monitoring |2 nationallicence | |
| 690 | 7 | |a Pulse oximetry |2 nationallicence | |
| 690 | 7 | |a Oxygen |2 nationallicence | |
| 690 | 7 | |a Post-anaesthesia complications |2 nationallicence | |
| 690 | 7 | |a AAGBI : Association of Anaesthetists of Great Britain and Ireland |2 nationallicence | |
| 690 | 7 | |a ASA : ASA physical status classification system (based on ASA=American Society of Anesthesiologists) |2 nationallicence | |
| 690 | 7 | |a AZ : "Aktenzeichen” (file-number) |2 nationallicence | |
| 690 | 7 | |a BMI : Body mass index |2 nationallicence | |
| 690 | 7 | |a CI : Confidence interval |2 nationallicence | |
| 690 | 7 | |a ESA : European Society of Anaesthesiology |2 nationallicence | |
| 690 | 7 | |a FiO2 : Inspired oxygen fraction |2 nationallicence | |
| 690 | 7 | |a FeO2 : Expired oxygen fraction |2 nationallicence | |
| 690 | 7 | |a ICU : Intermediate care unit |2 nationallicence | |
| 690 | 7 | |a MH : Major hospital |2 nationallicence | |
| 690 | 7 | |a N2O : Nitrous oxide |2 nationallicence | |
| 690 | 7 | |a OR : Operating room |2 nationallicence | |
| 690 | 7 | |a PACU : Post-anaesthesia care unit |2 nationallicence | |
| 690 | 7 | |a P all : Pulse oximetry is used in all patients |2 nationallicence | |
| 690 | 7 | |a P on request : Pulse oximetry is used on request only |2 nationallicence | |
| 690 | 7 | |a SD : Standard deviation |2 nationallicence | |
| 690 | 7 | |a SpO2 : Saturation of hemoglobin with oxygen as measured by pulse oximetry |2 nationallicence | |
| 690 | 7 | |a TIVA : Total intravenous anaesthesia |2 nationallicence | |
| 690 | 7 | |a UH : University hospital |2 nationallicence | |
| 700 | 1 | |a Aust |D Hansjörg |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 700 | 1 | |a Kranke |D Peter |u Department of Anaesthesia and Critical Care, University Hospitals of Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany |4 aut | |
| 700 | 1 | |a Eberhart |D Leopold |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 700 | 1 | |a Afshari |D Arash |u Department of Anaesthesia, Juliane Marie Centre, University of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark |4 aut | |
| 700 | 1 | |a Weber |D Frank |u Department of Anaesthesia, Erasmus University Medical Center - Sophia Children's Hospital, Wytemaweg 80, 3015 CN, Rotterdam, Netherlands |4 aut | |
| 700 | 1 | |a Brieskorn |D Melanie |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 700 | 1 | |a Heine |D Julian |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 700 | 1 | |a Arndt |D Christian |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 700 | 1 | |a Rüsch |D Dirk |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | |
| 773 | 0 | |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/3(2015-06-01), 415-426 |x 1387-1307 |q 29:3<415 |1 2015 |2 29 |o 10877 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s10877-014-9620-4 |q text/html |z Onlinezugriff via DOI |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10877-014-9620-4 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Aust |D Hansjörg |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kranke |D Peter |u Department of Anaesthesia and Critical Care, University Hospitals of Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Eberhart |D Leopold |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Afshari |D Arash |u Department of Anaesthesia, Juliane Marie Centre, University of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Weber |D Frank |u Department of Anaesthesia, Erasmus University Medical Center - Sophia Children's Hospital, Wytemaweg 80, 3015 CN, Rotterdam, Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Brieskorn |D Melanie |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Heine |D Julian |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Arndt |D Christian |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Rüsch |D Dirk |u Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/3(2015-06-01), 415-426 |x 1387-1307 |q 29:3<415 |1 2015 |2 29 |o 10877 | ||