Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis
Objective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH). Methods: 62 patients with PH undergoing video-assisted thoracoscopic sympathectomy, aged 18~35 years, ASA I-II,...
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doaj-94fc82e78bc0441c9d3db109e898b00a2020-11-25T02:22:10ZengEditorial Board of Journal of Hainan Medical UniversityJournal of Hainan Medical University1007-12371007-12372019-04-012572529Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosisShu-Rong Li0Department of Anesthesiology, Fisrt Hospital of PutianObjective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH). Methods: 62 patients with PH undergoing video-assisted thoracoscopic sympathectomy, aged 18~35 years, ASA I-II, were randomized into two groups: intubated group (group T) and normal-frequency jet ventilation group (group J). After induction tracheal tubes were inserted in Group T and Wei nasal airway were inserted in group J. The heart rate(HR),saturation pulse oxygen (SPO2), mean artery pressure (MAP) and end-tidal carbon dioxide partial pressure (PETCO2) were recorded at following time points: before induction (T0),1 min after induction (T1), 1 min after tube insertion/ intubation (T2), when trocars were inserted and carbon dioxide was inflated (T3), during lung recruitment maneuver and the chest closure (T4), the moment of extubation (T5), 15 min after extubation (T6). Blood samples were taken from left radial artery for blood gas analysis to monitor carbon dioxide partial pressure, arterial oxygen partial pressure, PH ,the BE at T0, T4, T6.The duration of anesthesia, awaking time ,the dosage of the propofol and the remifentanil, the intraoperative and postoperative adverse events were recorded. Results: Compared with group T, the HR and MAP were more stable in group J. The awaking time in the group J were significantly shorter than those in group T (P<0.05), the dosage of the remifentanil in group J was significantly less than that in group T (P<0.05), The incidences of throat discomfort, nausea and vomiting were lower than those in group T (P<0.05). Conclusion: Normal-frequency jet ventilation via Wei jet nasal airway in non-intubated anesthesia in the treatment of the (PH)is feasible, which can reduce stress response and make hemodynamics stable without the complications of tracheal intubation.http://www.hnykdxxb.com/PDF/201907/06.pdf |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shu-Rong Li |
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Shu-Rong Li Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis Journal of Hainan Medical University |
author_facet |
Shu-Rong Li |
author_sort |
Shu-Rong Li |
title |
Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
title_short |
Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
title_full |
Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
title_fullStr |
Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
title_full_unstemmed |
Ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
title_sort |
ventilatory effect of normal frequency jet ventilation in non-intubated anesthesia in the treatment of the palmar hyperhidrosis |
publisher |
Editorial Board of Journal of Hainan Medical University |
series |
Journal of Hainan Medical University |
issn |
1007-1237 1007-1237 |
publishDate |
2019-04-01 |
description |
Objective: To evaluate the ventilatory effect of normal frequency jet ventilation via Wei jet
nasal airway in non-intubated anesthesia in the treatment of the palmar hyperhidrosis (PH).
Methods: 62 patients with PH undergoing video-assisted thoracoscopic sympathectomy,
aged 18~35 years, ASA I-II, were randomized into two groups: intubated group (group T) and
normal-frequency jet ventilation group (group J). After induction tracheal tubes were inserted
in Group T and Wei nasal airway were inserted in group J. The heart rate(HR),saturation pulse
oxygen (SPO2), mean artery pressure (MAP) and end-tidal carbon dioxide partial pressure
(PETCO2) were recorded at following time points: before induction (T0),1 min after induction
(T1), 1 min after tube insertion/ intubation (T2), when trocars were inserted and carbon dioxide
was inflated (T3), during lung recruitment maneuver and the chest closure (T4), the moment of
extubation (T5), 15 min after extubation (T6). Blood samples were taken from left radial artery
for blood gas analysis to monitor carbon dioxide partial pressure, arterial oxygen partial
pressure, PH ,the BE at T0, T4, T6.The duration of anesthesia, awaking time ,the dosage of
the propofol and the remifentanil, the intraoperative and postoperative adverse events were
recorded. Results: Compared with group T, the HR and MAP were more stable in group J.
The awaking time in the group J were significantly shorter than those in group T (P<0.05), the
dosage of the remifentanil in group J was significantly less than that in group T (P<0.05), The
incidences of throat discomfort, nausea and vomiting were lower than those in group T (P<0.05).
Conclusion: Normal-frequency jet ventilation via Wei jet nasal airway in non-intubated
anesthesia in the treatment of the (PH)is feasible, which can reduce stress response and make
hemodynamics stable without the complications of tracheal intubation. |
url |
http://www.hnykdxxb.com/PDF/201907/06.pdf |
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