The Development of Practice Guideline for Preoxygenation before Anesthesia Induction at Khon Kaen Hospital
Keywords:
Practice Guideline; Preoxygenation before anesthesia inductionAbstract
Background and objective : Preoxygenation before induction is an important procedure to prevent desaturation during induction of general anesthesia. Incidence of desaturation in Khon Kaen hospital was 1-2cases per month and 30% of these were occured during induction. Various techniques were used by anesthesia personnel for preoxygenation.This study aimed to develop practice guideline for preoxygenation before anesthesia induction , evaluated outcomes and participants’s satisfication.
Methods : This study was action research. The center for advanced nursing practice evidence-based practice model was used. Four key elements were planning (problem identification), literature reviewed and developed the practice guideline then evaluated by the expert , observed results after guideline using and reflection. The outcomes and participants’s satisfication were collected.
Results : Forty participants were enrolled. The 7 steps-practice guideline were used in 103 patients, 69.9% were female, 49.5% were ASA physical status I. Average time to get end tidal oxygen equal to 80% were 61.36 seconds. Desaturation after intubation were not found and even maximum time used to intubate were 4.8 minutes. Most of participants satisfied the practice guideline as excellent (82.5%) and good (17.5%).
Conclusion : The practice guideline for preoxygenation before anesthesia induction developed in Khon Kaen hospital provided effective oxygenation and safe procedure.
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