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KMID : 0614619940260030561
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Korean Journal of Gastroenterology
1994 Volume.26 No. 3 p.561 ~ p.567
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Alteration of Arterial Oxygen Saturation and EKG During Laparoscopy
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강동훈
전훈재/송치욱/김창덕/류호상/현진해
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Abstract
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To assess the safety of diagnostic laparoscopy, we monitored arterial oxygen saturation (SaO2) and EKG changes using pulse oxymeter and EKG monitor in 72 patients who underwent laparoscopy, not suffered from cardio-pulmonary disease. The baseline
SaO2
was 96.0±2.4% and it decreased to 94.0±3.0% during laparoscopy and to 94.2±3.0% during laparoscopy and to 94.2±3.4% after laparoscopy(p<0.001). The baseline heart rate was 77.7±20.0/min and it increased to 84.5±17.9/min during
laparoscopy(p<0.01).
The Holter EKG changes in 22 patients over 60 years old were transient sinus tachycardia in 27.3% and ST segment depression in 4.5%. In patient over 65 years old, with high tolerance score, the baseline saturation were not significantly different
between other age and tolerance groups, but SaO2 were decreased significantly through and after the procedure. We identified old age, and well tolerated patients during laparoscopy as independent risk factors for arterial oxygen saturation. We
recommend
continuous monitoring and giving supplemental oxygen to patients with these high risk factors from outset of laparoscopy. (Korean J Gastroenterol 1994 ; 26 :561-567)
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