The primary objective is to show that positive pressure extubation improves oxygenation immediately after extubation compared to extubation via "aspiration" by evaluating and comparing the onset time of desaturation during spontaneous ventilation during awakening following general anesthesia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
68
Positive pressure extubation will be used for patients waking up from general anesthesia
Aspiration/suction extubation will be used for patients waking up from general anesthesia
Centre Hospitalier Universitaire de Nîmes
Nîmes, Gard, France
Spontaneous ventilation (air) time without desaturation after extubation (min)
desaturation is defined as an SpO2\< 92%
Time frame: 10 minutes
presence/absence of a desaturation after extubation
desaturation is defined as an SpO2\<92%
Time frame: 10 minutes
minimum Sp02 level after extubation (%)
Time frame: 10 minutes
minimum Sp02 level after extubation (%)
Time frame: 60 minutes
presence/absence of complications
coughing, airway obstruction, laryngospasm, desaturation, apnea, vomiting in the first hour
Time frame: 60 minutes
presence / absence of therapeutic maneuvers
includes oxygen therapy (or bezel ventimasque), Guedel airway, mask assistance, re-intubation during the first hour
Time frame: 60 minutes
presence/absence of any complication
Time frame: 60 minutes
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