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Does post-operative nasal packing cause nocturnal oxygen desaturation?

Published online by Cambridge University Press:  29 June 2007

J. G. Buckley ,
S. A. Hickey  and
A. F.Fitzgerald O'Connor
J. G. Buckley*
Affiliation:
London
S. A. Hickey
Affiliation:
London
A. F.Fitzgerald O'Connor
Affiliation:
London
*
J. G. Buckley M.Sc, F.R.C.S., E.N.T. Department, St. Thomas Hospital, London SE1 7EH.
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Abstract

Previous studies have shown an increased frequency and duration of apnoeic episodes during sleep when the nose is occluded. The aim of this study was to ascertain whether oxygen desaturation occurs with nasal occlusion by postoperative packing. Continuous digital pulse oximetry was carried out before and after submucous resection of the nasal septum in 17 otherwise healthy patients. Post-operative nasal packing produced a statistically significant change in oxygen saturation during sleep. The change was, however, of such small magnitude that it is unlikely to be clinically significant.

Keywords

Nasal packingOxygen desaturation
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 2 , February 1991 , pp. 109 - 111
Copyright
Copyright © JLO (1984) Limited 1991

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References

Armitage, P., Berry, G. (1987) Statistical methods in medical research, 2nd Edition. Blackwell Scientific Publications: Oxford, p 119.Google Scholar
Gregg, I., Nunn, A. J. (1973) Peak expiratory flow in normal subjects. British Medical Journal, 3: 282–284.CrossRefGoogle ScholarPubMed
Hady, M. R. A., Kodeira, K. Z., Nasef, A. H. (1983) The effect of nasal packing on arterial blood gases and acid base values and its clinical importance. Journal of Laryngology and Otology, 97: 599–601.CrossRefGoogle Scholar
James, J. E. A., Daly, M.de, B. (1969) Nasal reflexes. Proceedings of the Royal Society of Medicine, 62: 1287–93.CrossRefGoogle Scholar
Kagle, D. M., Alexander, C. M., Berko, R. S., Giuffre, M., Gross, J. B. (1987) Evaluation of the Ohmeda 3700 pulse oximeter: Steady state and transient response characteristics. Anesthesiology, 66: 376–380.CrossRefGoogle ScholarPubMed
Pateman, J. A., Hanning, C. D. (1989) Postoperative myocardial infarction and episodic hypoxaemia. British Journal of Anaesthesia, 63: 648–649.CrossRefGoogle ScholarPubMed
Rosenberg, J., Dirkes, W. E., Kehlet, H. (1989) Episodic arterial oxygen desaturation and heart rate variations following major abdominal surgery. British Journal of Anaesthesia, 63: 651–654.CrossRefGoogle ScholarPubMed
Suratt, P. M., Turner, B. L., Wilhoit, S. C. (1986) Effect of intranasal obstruction on breathing during sleep. Chest, 90:324–329.CrossRefGoogle ScholarPubMed
Taasan, V., Wynne, J. W., Cassissi, N., Block, A. J. (1981) The effect of nasal packing on sleep disordered breathing and nocturnal oxygen saturation. Laryngoscope, 91: 116–1171.CrossRefGoogle Scholar
Wyllie, J. W. III, Kern, E. B., O'Brien, P. C., Hyatt, H. I. (1976) Alteration of pulmonary function associated with artificial nasal obstruction. Surgical Forum, 27: 535–537.Google ScholarPubMed
Zwillich, C. W., Pickett, C., Hanson, F. N., Weil, J. V. (1981) Disturbed sleep and prolonged apnoea during nasal obstruction in normal men. Annual Review of Respiratory Diseases, 124: 158–160.Google ScholarPubMed