Effects of different fresh gas flows on carboxyhemoglobin levels: non-invasive carbon monoxide monitoring

• Published in: Saudi medical journal 2022-08, Vol.43 (8), p.891-898
• Main Authors: Köksal, Bengü G, Küçükosman Gamze, Pişkin, Özcan, Baytar Çağdaş, Keziban, Bollucuoğlu, Okyay, Rahşan D, Ayoğlu Hilal
• Format: Article
• Language: English
• Subjects: Anesthesia; Carbon monoxide; Hemoglobin; Patient safety; Respiratory diseases; Smoking
• ISSN: 0379-5284; 1658-3175
• DOI: 10.15537/smj.2022.43.8.20220424

Objectives:To observe the effect of different fresh gas flows (FGF) on carboxyhemoglobin (COHb) levels non-invasively and continuously and to determine the contribution of the smoking status to intraoperative carbon monoxide (CO) accumulation and respiratory complications.Methods:A total of 64 patients were included in the study. Carboxyhemoglobin level was monitored non-invasively from the fingertip. Patients were divided into 2 according to the FGF as low-flow anesthesia (LFA; Group L) and high flow anesthesia (Group H). Each group was divided again into 2 groups as smokers and non-smokers. Carboxyhemoglobin and and the respiratory complications that occurred in the post-anesthesia care unit were recorded.Results:The mean COHb values were significantly higher in Group L between 30th and 210th minutes. Furthermore, in Group L, intraoperative COHb levels were significantly higher in smokers compared to non-smokers in all periods. In group H, no difference was observed between smokers and non-smokers in terms of COHb levels after 60 minutes and also preoperative COHb levels of the patients developed respiratory complication was higher.Conclusion:If the CO2 absorbent is properly preserved in patients who are administered LFA, there will be no risk of CO accumulation even in chronic smokers.ClinicalTrials.gov REG. No.: NCT04832256