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British Journal of Anaesthesia, 1989, Vol. 62, No. 2 206-209
© 1989 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

OXYGEN DESATURATION FOLLOWING SEDATION FOR REGIONAL ANALGESIA

D. C. SMITH, B.MED.SCI., B.M., B.S., F.F.A.R.C.S.* and J. F. CRUL, M.D., PH.D., F.F.A.R.C.S.

Instituut voor Anesthesiologie, Sint Radboud Ziekenhuis Postbus 9101, 6500 HB Nijmegen, The Netherlands

Moderate to severe arterial oxygen desaturation (SaO2 75–88%) occurred in three of four patients who were given sedation during regional conduction block without the administration of oxygen. No desaturation occurred in six patients given oxygen 2 litre min–1 via a nasal catheter during similar procedures. It is concluded that patients undergoing regional conduction block with concurrent sedation should receive additional oxygen routinely unless a pulse oximeter is available for monitoring.

*Address for Correspondence: Department of Anaesthesia, Plymouth General Hospital, Freedom Fields, Plymouth PL4 8QQ.


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