SDN members see fewer ads and full resolution images. Join our non-profit community!

Preoxygenation and FRC

Discussion in 'Anesthesiology' started by dipriMAN, Sep 4, 2017.

  1. SDN is made possible through member donations, sponsorships, and our volunteers. Learn about SDN's nonprofit mission.
  1. dipriMAN

    dipriMAN

    4
    0
    Sep 4, 2017
    For some that has obstructive lung disease, their FRC will be increased. Does this mean that for someone with COPD, all else being equal, they will maintain their sats longer with apnea after preoxygenation than a lung with comparatively normal FRC.
     
  2. SDN Members don't see this ad. About the ads.
  3. SaltyDog

    SaltyDog Keeping the Forces of Entropy at Bay 10+ Year Member

    1,937
    2,287
    Aug 10, 2007
    Closer to Mexico
  4. FFP

    FFP Grunt, cog, body, pompous ass Gold Donor Classifieds Approved 10+ Year Member

    5,341
    4,286
    Oct 17, 2007
    the opposite pole
    Not all alveoli participate in oxygen exchange in severe COPD-ers.
     
  5. drmwvr

    drmwvr 7+ Year Member

    330
    69
    Dec 2, 2008
    Not as bad as obesity but not as good as a college kid. Assuming no exacerbation. I understand this is more academic than clinical reality, but good preoxygenation (black rubber face strap, not distracted OR nurse) for several minutes will give at least 3-4 minutes of safe apnea in the non obese COPD'er. Add reverse trendellenburg and it may be more. You shouldn't notice a difference, all else being equal.
     
  6. timgasman

    timgasman

    34
    3
    Jun 2, 2016
    The lung is diseased so the problem isn't just that you have a large FRC, but you cannot get the oxygen out due to loss of passive recoil.
     

Share This Page