Abstract

NODAL ORTEGA, Josefina; OLIVE GONZALEZ, Juan Bautista; MACHADO ALVAREZ, Mayuri  and  QUINTANA PAJON, Ingrid. Use of apneic oxygenation in endoscopic transthoracic sympathectomy. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.3, pp.200-210. ISSN 1726-6718.

Even now it is arguable the anesthetic behavior of patients underwent thoracoscopy for a surgical treatment of hyperhidrosis of upper extremities. Objectives: To identify the behavior of oxygenation and carbon dioxide (CO2 ) at the end of the exhalation, as well as the potential side effects with the application of apneic oxygenation in patients in which a T2-T3 endoscopic transthoracic sympathectomy will be carried out. Material and Methods: A cross-sectional and descriptive study was conducted in 16 patients underwent apneic oxygenation using a conventional orotracheal tube. At intraoperative period the apnea time was measured by hemithorax and the arterial peripheral oxygen saturation (Sp02) was assessed and the carbon dioxide at the end of the exhalation (etCO2), as well as the heart rate (HR) and the non-invasive blood pressure (BP). Results: Despite the apnea times the oxygenation remained optimal in all the cases, the mean value of etCO2 in under the 60 mmHg without significant changes of HR and the BP regarding the basal values. Conclusions: The apneic oxygenation technique is useful in this type of procedure.

Keywords : Apneic oxygenation; pre-oxygenation; hyperhidrosis; sympathectomy.

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