PT  - JOURNAL ARTICLE
AU  - Köksal, Bengü G.
AU  - Küçükosman, Gamze
AU  - Özcan, Pişkin
AU  - Baytar, Çağdaş
AU  - Bollucuoğlu, Keziban
AU  - Okyay, Rahşan D.
AU  - Ayoğlu, Hilal
TI  - Effects of different fresh gas flows on carboxyhemoglobin levels: non-invasive carbon monoxide monitoring
AID  - 10.15537/smj.2022.43.8.20220424
DP  - 2022 Aug 01
TA  - Saudi Medical Journal
PG  - 891--898
VI  - 43
IP  - 8
4099  - http://smj.org.sa/content/43/8/891.short
4100  - http://smj.org.sa/content/43/8/891.full
SO  - Saudi Med J2022 Aug 01; 43
AB  - 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