caa a22 4500 605510024 CHVBK 20210128100644.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10877-014-9620-4 doi (NATIONALLICENCE)springer-10.1007/s10877-014-9620-4 Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study [Elektronische Daten] [Hansjörg Aust, Peter Kranke, Leopold Eberhart, Arash Afshari, Frank Weber, Melanie Brieskorn, Julian Heine, Christian Arndt, Dirk Rüsch] 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. Springer Science+Business Media New York, 2014 Patient safety nationallicence Monitoring nationallicence Pulse oximetry nationallicence Oxygen nationallicence Post-anaesthesia complications nationallicence AAGBI : Association of Anaesthetists of Great Britain and Ireland nationallicence ASA : ASA physical status classification system (based on ASA=American Society of Anesthesiologists) nationallicence AZ : "Aktenzeichen” (file-number) nationallicence BMI : Body mass index nationallicence CI : Confidence interval nationallicence ESA : European Society of Anaesthesiology nationallicence FiO2 : Inspired oxygen fraction nationallicence FeO2 : Expired oxygen fraction nationallicence ICU : Intermediate care unit nationallicence MH : Major hospital nationallicence N2O : Nitrous oxide nationallicence OR : Operating room nationallicence PACU : Post-anaesthesia care unit nationallicence P all : Pulse oximetry is used in all patients nationallicence P on request : Pulse oximetry is used on request only nationallicence SD : Standard deviation nationallicence SpO2 : Saturation of hemoglobin with oxygen as measured by pulse oximetry nationallicence TIVA : Total intravenous anaesthesia nationallicence UH : University hospital nationallicence Aust Hansjörg Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Kranke Peter Department of Anaesthesia and Critical Care, University Hospitals of Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany aut Eberhart Leopold Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Afshari Arash Department of Anaesthesia, Juliane Marie Centre, University of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark aut Weber Frank Department of Anaesthesia, Erasmus University Medical Center - Sophia Children's Hospital, Wytemaweg 80, 3015 CN, Rotterdam, Netherlands aut Brieskorn Melanie Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Heine Julian Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Arndt Christian Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Rüsch Dirk Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 415-426 1387-1307 29:3<415 2015 29 10877 https://doi.org/10.1007/s10877-014-9620-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9620-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aust Hansjörg Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 700 1- Kranke Peter Department of Anaesthesia and Critical Care, University Hospitals of Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Germany aut NATIONALLICENCE 700 1- Eberhart Leopold Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 700 1- Afshari Arash Department of Anaesthesia, Juliane Marie Centre, University of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Weber Frank Department of Anaesthesia, Erasmus University Medical Center - Sophia Children's Hospital, Wytemaweg 80, 3015 CN, Rotterdam, Netherlands aut NATIONALLICENCE 700 1- Brieskorn Melanie Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 700 1- Heine Julian Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 700 1- Arndt Christian Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 700 1- Rüsch Dirk Department of Anaesthesia and Intensive Care, University Hospital Giessen-Marburg, Marburg Campus, Baldingerstrasse, 35033, Marburg, Germany aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/3(2015-06-01), 415-426 1387-1307 29:3<415 2015 29 10877