The effect on arterial blood gases and heart rate of bilateral nasal packing.

Autor: Ogretmenoglu O; Hacettepe University, Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Bahçelievler Ankara, Turkey., Yilmaz T, Rahimi K, Aksöyek S
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2002 Feb; Vol. 259 (2), pp. 63-6.
DOI: 10.1007/s00405-001-0422-1
Abstrakt: In order to elucidate the blood gas and heart rate changes caused by bilateral nasal packing, 21 healthy subjects who had had septoplasty or septorhinoplasty were investigated with pre- and post-operative blood gas measurements and 24-h Holter monitoring. Nasal packing caused a significant decrease in O2 saturation (P < 0.05), a borderline decrease in PO2 (P = 0.09), insignificant changes in PCO2, pH and HCO3 (P > 0.05), a significant increase in minimum and mean heart rates (P < 0.05) and insignificant changes in maximum heart rates; however, further research is necessary to elucidate the direct cause-and-effect relationship. No serious arrhythmias were observed. Although these changes may be within normal levels for healthy subjects, they may have serious consequences for patients with cardiopulmonary diseases.
Databáze: MEDLINE