https://scholars.lib.ntu.edu.tw/handle/123456789/532553
標題: | The physiological impact of wearing an N95 mask during hemodialysis as a precaution against SARS in patients with end-stage renal disease | 作者: | Kao T.-W. Huang K.-C. Huang Y.-L. TUN-JUN TSAI Hsieh B.-S. MING-SHIOU WU |
公開日期: | 2004 | 卷: | 103 | 期: | 8 | 起(迄)頁: | 624-628 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background and Purpose: Most patients with end-stage renal disease (ERSD) visiting our hospital for hemodialysis treatment during the SARS outbreak wore an N95 mask. Data on the physiological stress imposed by the wearing of N95 masks remains limited. This study investigated the physiological impact of wearing an N95 mask during hemodialysis (HD) on patients with ESRD. Methods: ESRD patients who received regular HD at National Taiwan University Hospital between April to June 2003 were enrolled. Each patient wore a new N95 mask (3M Model 8210) during HD (4 hours). Vital signs, clinical symptoms and arterial blood gas measured before and at the end of HD were compared. Results: Thirty nine patients (23 men; mean age, 57.2 years) were recruited for participation in the study. Seventy percent of the patients showed a reduction in partial pressure of oxygen (PaO2), and 19% developed various degrees of hypoxemia. Wearing an N95 mask significantly reduced the PaO2 level (101.7 ± 12.6 to 92.7 ± 15.8 mm Hg, p = 0.006), increased the respiratory rate (16.8 ± 2.8 to 18.8 ± 2.7/min, p < 0.001), and increased the occurrence of chest discomfort (3 to 11 patients, p = 0.014) and respiratory distress (1 to 17 patients, p < 0.001). Baseline PaO2 level was the only significant predictor of the magnitude of PaO2 reduction (p < 0.001). Conclusion: Wearing an N95 mask for 4 hours during HD significantly reduced PaO2 and increased respiratory adverse effects in ESRD patients. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-8344253688&partnerID=40&md5=fecf9e15914939169b8e817eff4a6186 https://scholars.lib.ntu.edu.tw/handle/123456789/532553 |
ISSN: | 0929-6646 | SDG/關鍵字: | adult; arterial gas; arterial oxygen tension; article; breathing rate; clinical article; controlled study; face mask; female; hemodialysis; human; hypoxemia; infection prevention; kidney failure; male; patient monitoring; prediction; protective equipment; respiratory distress; severe acute respiratory syndrome; stress; symptomatology; Taiwan; thorax disease; university hospital; Adult; Aged; Aged, 80 and over; Anoxemia; Blood Gas Analysis; Female; Humans; Kidney Failure, Chronic; Male; Masks; Middle Aged; Partial Pressure; Renal Dialysis; Severe Acute Respiratory Syndrome |
顯示於: | 醫學系 |
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