| The Influence of Deep Breathing and Encouraged Cough on the Arterial Oxygen Saturation in Patients Following Upper Abdominal Surgery. |
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Young Man Kim, Sung Hee Kang, Kyung Han Kim, Tae Ho Chang, Se Hwan Kim |
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Department of Anesthesiology, Kosin Medical College, Pusan, Korea. |
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| Abstract |
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To investigate the effect of deep breathing and encouraged coughing on the arterial oxygenation in patients following upper abdominal surgery under general anesthesia, 80 patients were chosen and divided into 4 groups according to the therapy modalities given during the recovery mom care ; group 1: spontaneous recovery, group 2: oxygen, group 3: cough with deep breathing, and group 4: oxygen plus cough with deep breathing. Oxygen saturation (SpO2 by pulse oximeter) was monitored before anesthesia (control) and over a 24 hour period after operation. S values decreased on arrival in the recovery room after anesthesia in all groups (p<0.05). As patients awakened from anesthesia in the recovery room, SpO2 values were progressively increased to near preanesthetic values in the non-oxygen groups (Group 1, 3) and increased even above preanesthtic values in the oxygen groups (Group 2, 4) SpO2 values at 24-hours after operation were 97.0% in Group 1, 96.9% in Group 2, 97.8% in Group 3, and 97.5% in GRoup 4; therefore Group 3 had the highest value of SpO2 (p<0.05), In conclusion, deep breathing with cough encouragement in the recovery room seemed to be associated with better oxygenation 24 hours postanesthetically than supplemental oxygen or natural recovery groups. |
| Key Words:
Deep breathing; Encouraged cough; General anesthesia; SpO2; Upper abdominal surgery |
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