The effects of the oxygen flow rate on heart rate variability in the PACU after TIVA

Kim, Hong Soon; Jung, Wol Seon; Chae, Su Min; Bang, Min Suk; Lee, Kyung Cheon

Clinical Research

Anesthetic Pharmacology

Anesthesia and Pain Medicine 2010;5(1):24-29.
Published online January 30, 2010.

The effects of the oxygen flow rate on heart rate variability in the PACU after TIVA

Hong Soon Kim, Wol Seon Jung, Su Min Chae, Min Suk Bang, Kyung Cheon Lee

¹Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. cherish@gilhospital.com
²Department of Anesthesiology and Pain Medicine, School of Medicine, Gachon University of Medicine and Science, Incheon, Korea.

Abstract

BACKGROUND
Oxygen increases the cardiac vagal tone, blood pressure, systemic vascular resistance and vascular tone in healthy adults.This study assessed the autonomic tone according to different oxygen flow rates via different types of masks with using the heart rate variability (HRV) in the PACU after total intravenous anesthesia (TIVA).
METHODS
We prospectively studied 27 patients after TIVA in the PACU.The 5 L group received oxygen via a simple mask with an oxygen rate of 5 L/min and the 10 L group received oxygen via a mask with a reservoir bag at a rate of 10 L/min in the PACU. We evaluated the HRV at the point of stabilization before anesthesia (BL), 5 min in the PACU (PACU 5), 30 min in the PACU (PACU 30) and 60 min in the PACU (PACU 60).
RESULTS
In the 5 L group, the nuHF was increased to 42.4 +/- 24.2 at 60 min in the PACU as compared with 27.1 +/- 19.1 at 5 min in the PACU.In the 5 L group, the LFHFr was decreased to 2.3 +/- 2.1 at PACU 60 as compared with 6.6 +/- 9.7 at PACU 5 and the nuLF was decreased to 56.9 +/- 23.2 at PACU 60 as compared with 72.9 +/- 19.0 at PACU 5.There were no significant changes between the two groups at PACU 5, PACU 30 and PACU 60.The oxygen saturation was increased at PACU 60 compared with PACU 5 in the two groups.
CONCLUSIONS
These finding indicates that 1 h of oxygen administration with 5 L/min during emergence from anesthesia increased the relative vagal tone, and the arterial blood pressure is stable irrespective of the oxygen flow rate.

Key Words: Heart rate variability, Oxygen flow rate, Sympathetic tone, Total intravenous anesthesia, Vagal tone