Cerrahi ve FFP2/N95Maske Kullanan Acil Servis Çalışanlarında Near Infrared Spectroscopy ile Beyin Oksijenizasyonunun Değerlendirilmesi
Öz
Amaç: Bu çalışma, Near infrared spektroskopi (NIRS) yöntemini kullanarak cerrahi ve FFP2/N95 maskelerinin kullanımıyla ilişkili beyin oksijenasyonundaki değişiklikleri tespit etmeyi amaçladı.
Gereç ve Yöntemler: Cerrahi maske takan gönüllülerden 30 dakika dik oturmaları istendi. 1., 5. ve 30. dakikalarda (grup 1) serebral oksijen satürasyonu değerleri ölçüldü. Maske takanların bu işlemin ertesi günü aynı saatte gelmeleri istendi. Grup 2'de seri serebral oksijen satürasyonu değerleri (SpO2) grup 1 ile aynı zaman aralıklarında ancak denekler FFP2/N95 maskesi takarken elde edildi.
Bulgular: Grup 1'de 1., 5. ve 30. dakikalarda NIRS ile ölçülen değerlerin karşılaştırılmasında gruplar arasında istatistiksel olarak anlamlı fark bulundu. Post-hoc analize göre bu fark, 1. dakika ve 30. dakika ve 5. dakika ve 30. dakikada. Grup 2'de 1., 5. ve 30. dakikalarda NIRS ile ölçülen değerlerin karşılaştırılmasında gruplar arasında istatistiksel olarak anlamlı fark bulunmadı.
Sonuç: Ne cerrahi ne de FFP2/N95 maskeleri, beyin oksijenasyonunda klinik olarak anlamlı bir negatif farklılığa neden olmadı.
Anahtar Kelimeler
Maske oksijenasyon near infrared spectroscopy oksijen saturasyonu gönüllüler
Destekleyen Kurum
Yok
Teşekkür
Veri toplamada yardım eden Mücahit Şentürk ve Yavuzselim Koca'ya teşekkür ederiz.
Kaynakça
- Liu J, Liao X, Qian S, Yuan J, Wang F, Liu Y, et al. Community Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis. 2020;26(6):1320-3.
- Gelardi M, Fiore V, Giancaspro R, La Gatta E, Fortunato F, Resta O, et al. Surgical mask and N95 in healthcare workers of Covid-19 departments: clinical and social aspects. Acta Biomed. 2020;91(4):e2020171.
- Fikenzer S, Uhe T, Lavall D, Rudolph U, Falz R, Busse M, et al. Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity. Clin Res Cardiol. 2020;109(12):1522-30.
- Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013;41(12):1218-23.
- Jefferson T, Del Mar CB, Dooley L, Ferroni E, Al-Ansary LA, Bawazeer GA, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2020;11(11):CD006207.
- Loeb M, Dafoe N, Mahony J, John M, Sarabia A, Glavin V, et al. Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA. 2009;302(17):1865-71.
- Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ. 2020;369:m1642.
- Kalkan A, Bilir O, Ersunan G, Ozel D, Tas M, Memetoglu ME. Abdominal oxygen saturation for monitoring return of spontaneous circulation in out-of-hospital cardiac arrest using near infrared spectrophometry. Am J Emerg Med. 2015;33(3):344-8.
- Steppan J, Hogue CW Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol. 2014;28(4):429-39.
- Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth. 2009;103 Suppl 1:i3-13.
- Takegawa R, Hayashida K, Rolston DM, Li T, Miyara SJ, Ohnishi M, et al. Near-Infrared Spectroscopy Assessments of Regional Cerebral Oxygen Saturation for the Prediction of Clinical Outcomes in Patients With Cardiac Arrest: A Review of Clinical Impact, Evolution, and Future Directions. Front Med. 2020;7:587930.
- Lu Y, Di M, Li C, Chen M, Yuan K, Shangguan W. Comparing the response of pulse oximetry and regional cerebral oxygen saturation to hypoxia in preschool children. Exp Ther Med. 2020;19(1):353-8.
- Tobias JD. Cerebral oximetry monitoring with near infrared spectroscopy detects alterations in oxygenation before pulse oximetry. J Intensive Care Med. 2008;23(6):384-8.
- Schramm P, Tzanova I, Hagen F, Berres M, Closhen D, Pestel G, et al. Cerebral oxygen saturation and cardiac output during anaesthesia in sitting position for neurosurgical procedures: a prospective observational study. Br J Anaesth. 2016;117(4):482-8.
- Coskun C, Borulu F, Emir I, Hanedan M, Mataraci I. Investigation of the Relationship between Cerebral Near-Infrared Spectroscopy Measurements and Cerebrovascular Event in Coronary Artery Bypass Grafting Operation in Patients without Carotid Stenosis and Patients with Carotid Stenosis below Surgical Margins. Braz J Cardiovasc Surg. 2020;35(4):465-70.
- Hoffman GM. Neurologic monitoring on cardiopulmonary bypass: what are we obligated to do? Ann Thorac Surg. 2006;81(6):S2373-80.
- Heringlake M, Garbers C, Käbler JH, Anderson I, Heinze H, Schön J, et al. Preoperative cerebral oxygen saturation and clinical outcomes in cardiac surgery. Anesthesiology. 2011;114(1):58-69.
- Newman L, Nolan H, Carey D, Reilly RB, Kenny RA. Age and sex differences in frontal lobe cerebral oxygenation in older adults-Normative values using novel, scalable technology: Findings from the Irish Longitudinal Study on Ageing (TILDA). Arch Gerontol Geriatr. 2020;87:103988.
- Strapazzon G, Gatterer H, Falla M, Dal Cappello T, Malacrida S, Turner R, et al. Hypoxia and hypercapnia effects on cerebral oxygen saturation in avalanche burial: A pilot human experimental study. Resuscitation. 2021;158:175-82.
- Epstein D, Korytny A, Isenberg Y, Marcusohn E, Zukermann R, Bishop B, et al. Return to training in the COVID-19 era: The physiological effects of face masks during exercise. Scand J Med Sci Sports. 2021;31(1):70-5.
- Ramos-Campo DJ, Pérez-Piñero S, Muñoz-Carrillo JC, López-Román FJ, García-Sánchez E, Ávila-Gandía V. Acute Effects of Surgical and FFP2 Face Masks on Physiological Responses and Strength Performance in Persons with Sarcopenia. Biology. 2021;10(3):213.
- Scarano A, Inchingolo F, Rapone B, Festa F, Tari SR, Lorusso F. Protective Face Masks: Effect on the Oxygenation and Heart Rate Status of Oral Surgeons during Surgery. Int J Environ Res Public Health. 2021;18(5):2363.
- Kyung SY, Kim Y, Hwang H, Park JW, Jeong SH. Risks of N95 Face Mask Use in Subjects With COPD. Respir Care. 2020;65(5):658-64.
- Li Y, Tokura H, Guo YP, Wong AS, Wong T, Chung J, et al. Effects of wearing N95 and surgical facemasks on heart rate, thermal stress and subjective sensations. Int Arch Occup Environ Health. 2005;78(6):501-9.
- Haraf RH, Faghy MA, Carlin B, Josephson RA. The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation. J Cardiopulm Rehabil Prev. 2021;41(1):1-5.
Evaluation of Brain Oxygenation by Near Infrared Spectroscopy in Healthcare Professionals Using Surgical and FFP2/N95 Masks
Öz
Aim: The present study aimed to detect changes in brain oxygenation associated with the use of surgical and FFP2/N95 masks using the near infrared spectroscopy (NIRS) method.
Material and Methods: Volunteers wearing surgical masks were asked to sit upright for 30 minutes. Cerebral oxygen saturation values were measured at the 1st, 5th, and 30th minutes (group 1). The mask wearers were requested to return at the same time on the day following this procedure. In group 2, serial cerebral oxygen saturation values (SpO2) were obtained at the same time intervals as in group 1, but while the subjects were wearing FFP2/N95 masks.
Results: A statistically significant difference was found between the groups in the comparison of the values measured using NIRS at the 1st, 5th, and 30th minutes in group 1. According to the post-hoc analysis, this difference was due to discrepancies in NIRS measurements at the 1st minute and 30th minute and at the 5th minute and 30th minute. No statistically significant difference was found between the groups in the comparison of the values measured using NIRS at the 1st, 5th, and 30th minutes in group 2.
Conclusion: Neither surgical nor FFP2/N95 masks caused a clinically significant negative difference in brain oxygenation.
Anahtar Kelimeler
Mask oxygenation near infrared spectroscopy oxygen saturation volunteers
Kaynakça
- Liu J, Liao X, Qian S, Yuan J, Wang F, Liu Y, et al. Community Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis. 2020;26(6):1320-3.
- Gelardi M, Fiore V, Giancaspro R, La Gatta E, Fortunato F, Resta O, et al. Surgical mask and N95 in healthcare workers of Covid-19 departments: clinical and social aspects. Acta Biomed. 2020;91(4):e2020171.
- Fikenzer S, Uhe T, Lavall D, Rudolph U, Falz R, Busse M, et al. Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity. Clin Res Cardiol. 2020;109(12):1522-30.
- Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013;41(12):1218-23.
- Jefferson T, Del Mar CB, Dooley L, Ferroni E, Al-Ansary LA, Bawazeer GA, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2020;11(11):CD006207.
- Loeb M, Dafoe N, Mahony J, John M, Sarabia A, Glavin V, et al. Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA. 2009;302(17):1865-71.
- Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ. 2020;369:m1642.
- Kalkan A, Bilir O, Ersunan G, Ozel D, Tas M, Memetoglu ME. Abdominal oxygen saturation for monitoring return of spontaneous circulation in out-of-hospital cardiac arrest using near infrared spectrophometry. Am J Emerg Med. 2015;33(3):344-8.
- Steppan J, Hogue CW Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol. 2014;28(4):429-39.
- Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth. 2009;103 Suppl 1:i3-13.
- Takegawa R, Hayashida K, Rolston DM, Li T, Miyara SJ, Ohnishi M, et al. Near-Infrared Spectroscopy Assessments of Regional Cerebral Oxygen Saturation for the Prediction of Clinical Outcomes in Patients With Cardiac Arrest: A Review of Clinical Impact, Evolution, and Future Directions. Front Med. 2020;7:587930.
- Lu Y, Di M, Li C, Chen M, Yuan K, Shangguan W. Comparing the response of pulse oximetry and regional cerebral oxygen saturation to hypoxia in preschool children. Exp Ther Med. 2020;19(1):353-8.
- Tobias JD. Cerebral oximetry monitoring with near infrared spectroscopy detects alterations in oxygenation before pulse oximetry. J Intensive Care Med. 2008;23(6):384-8.
- Schramm P, Tzanova I, Hagen F, Berres M, Closhen D, Pestel G, et al. Cerebral oxygen saturation and cardiac output during anaesthesia in sitting position for neurosurgical procedures: a prospective observational study. Br J Anaesth. 2016;117(4):482-8.
- Coskun C, Borulu F, Emir I, Hanedan M, Mataraci I. Investigation of the Relationship between Cerebral Near-Infrared Spectroscopy Measurements and Cerebrovascular Event in Coronary Artery Bypass Grafting Operation in Patients without Carotid Stenosis and Patients with Carotid Stenosis below Surgical Margins. Braz J Cardiovasc Surg. 2020;35(4):465-70.
- Hoffman GM. Neurologic monitoring on cardiopulmonary bypass: what are we obligated to do? Ann Thorac Surg. 2006;81(6):S2373-80.
- Heringlake M, Garbers C, Käbler JH, Anderson I, Heinze H, Schön J, et al. Preoperative cerebral oxygen saturation and clinical outcomes in cardiac surgery. Anesthesiology. 2011;114(1):58-69.
- Newman L, Nolan H, Carey D, Reilly RB, Kenny RA. Age and sex differences in frontal lobe cerebral oxygenation in older adults-Normative values using novel, scalable technology: Findings from the Irish Longitudinal Study on Ageing (TILDA). Arch Gerontol Geriatr. 2020;87:103988.
- Strapazzon G, Gatterer H, Falla M, Dal Cappello T, Malacrida S, Turner R, et al. Hypoxia and hypercapnia effects on cerebral oxygen saturation in avalanche burial: A pilot human experimental study. Resuscitation. 2021;158:175-82.
- Epstein D, Korytny A, Isenberg Y, Marcusohn E, Zukermann R, Bishop B, et al. Return to training in the COVID-19 era: The physiological effects of face masks during exercise. Scand J Med Sci Sports. 2021;31(1):70-5.
- Ramos-Campo DJ, Pérez-Piñero S, Muñoz-Carrillo JC, López-Román FJ, García-Sánchez E, Ávila-Gandía V. Acute Effects of Surgical and FFP2 Face Masks on Physiological Responses and Strength Performance in Persons with Sarcopenia. Biology. 2021;10(3):213.
- Scarano A, Inchingolo F, Rapone B, Festa F, Tari SR, Lorusso F. Protective Face Masks: Effect on the Oxygenation and Heart Rate Status of Oral Surgeons during Surgery. Int J Environ Res Public Health. 2021;18(5):2363.
- Kyung SY, Kim Y, Hwang H, Park JW, Jeong SH. Risks of N95 Face Mask Use in Subjects With COPD. Respir Care. 2020;65(5):658-64.
- Li Y, Tokura H, Guo YP, Wong AS, Wong T, Chung J, et al. Effects of wearing N95 and surgical facemasks on heart rate, thermal stress and subjective sensations. Int Arch Occup Environ Health. 2005;78(6):501-9.
- Haraf RH, Faghy MA, Carlin B, Josephson RA. The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation. J Cardiopulm Rehabil Prev. 2021;41(1):1-5.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Orijinal Çalışma |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 3 |
