Comparison of Arterial Blood Gases by both Invasive and Non-Invasive Methods during the Weaning from Mechanical Ventilation in Patients Undergoing Cardiac Surgery

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Beitollahi Fatemeh; VAHEDIAN AZIMI AMIR; Ghiasi Mohammad Saeid; Moradian Seyed Tayeb

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Journal: Journal of Critical Care Nursing Year:2020 | Volume:13 | Issue:3 Page(s): 13-19

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Title

Comparison of Arterial Blood Gases by both Invasive and Non-Invasive Methods during the Weaning from Mechanical Ventilation in Patients Undergoing Cardiac Surgery

Author(s)

Beitollahi Fatemeh | VAHEDIAN AZIMI AMIR | Ghiasi Mohammad Saeid | Moradian Seyed Tayeb | Issue Writer Certificate

Keywords

CapnographyQ1

Invasive TechniquesQ1

Non-Invasive TechniquesQ1

WeaningQ1

Cardiac SurgeryQ2

Abstract

Background and aim: Due to the side effects of Invasive Techniques, the use of non-Invasive Techniques with continuous monitoring has been considered by health centers. In this study, invasive and non-Invasive Techniques for monitoring arterial blood gases were compared during patients' Weaning from mechanical ventilation after Cardiac Surgery. Methods: In a descriptive-cross-sectional study, 70 patients who were candidates for Cardiac Surgery were assessed during 1397 at Jamaran Heart Hospital and the values for oxygen saturation and carbon dioxide measured by non-invasive methods (pulse oximetry and Capnography) and invasive (ABG) were compared Results: The results of the study showed that there is a difference of 1. 7± 4. 54 between the copography and PaCO2 values, and a difference of 0. 92± 2. 29 between the SPO2 and SaO2 values. There was a positive and significant correlation between ETCO2 and PaCO2 (P<0. 001, r=0. 43). There was also a correlation between SPO2 and SaO2 numbers (P=0. 03, r=0. 25). The results of the linear regression test showed that ETCO2 and SPO2 can predict PaCO2 and SaO2 using the following formula, respectively. PaCO2= 20. 61 +0. 45(𝐸 𝑇 𝐶 𝑂 2), SaO2= 63. 65 +0. 25(𝑆 𝑃 𝑂 2). Conclusion: Capnography and pulse oximetry can be used as non-invasive, inexpensive, and safe methods in Weaning patients from mechanical ventilation after Cardiac Surgery. For a more detailed examination, it is recommended that studies be performed with a larger sample size, as well as in patients with different physical conditions and severity of the disease.

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References

Predictors and outcome of early extubation in infants postcardiac surgery: A single-center observational study

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APA: Copy

Beitollahi, Fatemeh, VAHEDIAN AZIMI, AMIR, Ghiasi, Mohammad Saeid, & Moradian, Seyed Tayeb. (2020). Comparison of Arterial Blood Gases by both Invasive and Non-Invasive Methods during the Weaning from Mechanical Ventilation in Patients Undergoing Cardiac Surgery. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN), 13(3 ), 13-19. SID. https://sid.ir/paper/407990/en

Vancouver: Copy

Beitollahi Fatemeh, VAHEDIAN AZIMI AMIR, Ghiasi Mohammad Saeid, Moradian Seyed Tayeb. Comparison of Arterial Blood Gases by both Invasive and Non-Invasive Methods during the Weaning from Mechanical Ventilation in Patients Undergoing Cardiac Surgery. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN)[Internet]. 2020;13(3 ):13-19. Available from: https://sid.ir/paper/407990/en

IEEE: Copy

Fatemeh Beitollahi, AMIR VAHEDIAN AZIMI, Mohammad Saeid Ghiasi, and Seyed Tayeb Moradian, “Comparison of Arterial Blood Gases by both Invasive and Non-Invasive Methods during the Weaning from Mechanical Ventilation in Patients Undergoing Cardiac Surgery,” IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN), vol. 13, no. 3 , pp. 13–19, 2020, [Online]. Available: https://sid.ir/paper/407990/en

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