CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

A study of role and comparison of tidal volume and deep breathing techniques of preoxygenation

Author: 
Dr. Samina K. Khatib, Dr. Shobha J. Baride and Dr. Syed, S.N.
Subject Area: 
Health Sciences
Abstract: 

Background: This study was envisaged to emphasize the importance and necessity of preoxygenation in all cases before induction. The commonly used 3 minute tidal volume breathing (TV) and 4 deep breaths (DB) in 30 seconds techniques were compared using pulseoximetry. The effect of preoxygenationon vital haemodynamicparameters with these techniques and also the effects, if preoxygenation is not done, were also evaluated. Material and Methods: This randomized clinical study was done in a tertiary care medical college hospital. Ninety adult patients(18-45 years) of both genders, ASA grade I-II, undergoing elective surgery were included and studied in three groups with 30 patients randomly allocated to each group. Group I-Received no preoxygenation, but ventilation was done during apnoea using AMBU with oxygen 2 liters/minute with 4 maximal chest inflations. Group II-Received preoxygenation with 100% oxygen in the form of 4 vital capacity breaths in 30 seconds and ventilation was done during apnoea with 4 maximal chest inflations of 100% oxygen. Group III- Received preoxygenation with 100% oxygen, for 3 minutes in the form of tidal volume breathing and ventilation was done during apnea with4 maximal chest inflations of 100% oxygen. The pulse, blood pressure and oxygen saturation were recorded before induction, after premedication, after preoxygenation, after induction and intubation. The values were compared statistically using paired and unpaired t-test and one-way analysis of variance test as applicable. A p-value of less than 0.05 was considered as statistically significant at 95% confidence interval. Results: During induction there was a fall in saturation in patients of Group I with a meanSpO2 after intubation of 94.71% ±3. 61 and the lowest value recorded being 88%. In the Groups II and III, the SpO2 was maintained at a level of 100% throughout induction. There was a rise in pulse and blood pressure after intubation in all the groups as a result of intubation response. The rise in blood pressure in Group I (mean SBP=144.6±16.8, mean DBP=95. 46±11.49) was higher though not significant, as compared to the other two groups. (Mean SBP in Group II=142.63±13.03, mean DBP in Group II=92. 33±23.72, mean SBP in Group III=136.73±8.1, mean DBP in Group III=93. 4±10.16). (p>0.05).The vitals started approaching the baseline values and blood pressure reached baseline values significantly faster in preoxygenated groups as compared to Group I (p<0.05). Conclusions: Preoxygenation is a must before induction in all patients. Both 3 minute tidal volume and 4 deep breaths in 30 seconds techniques are equally effective in uncomplicated inductions. Ventilation during apnoea provides added oxygen reserve. Besides protection from hypoxia, preoxygenation contributes to hemodynamic stability.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR

Rosane Cavalcante Fragoso, Brasil

ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran