Changes in bowel sounds of inpatients undergoing general anesthesia

Abstract Background General anesthesia can affect intestinal function, but there is no objective, practical and effective indicator to evaluate the inhibition and recovery of intestinal function. The main objectives of this study were to assess whether bowel sounds (BSs) changed before, immediately...

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Main Authors: Guojing Wang, Mingjun Wang, Hongyun Liu, Suping Zhao, Lu Liu, Weidong Wang
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12938-020-00805-z
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author Guojing Wang
Mingjun Wang
Hongyun Liu
Suping Zhao
Lu Liu
Weidong Wang
author_facet Guojing Wang
Mingjun Wang
Hongyun Liu
Suping Zhao
Lu Liu
Weidong Wang
author_sort Guojing Wang
collection DOAJ
description Abstract Background General anesthesia can affect intestinal function, but there is no objective, practical and effective indicator to evaluate the inhibition and recovery of intestinal function. The main objectives of this study were to assess whether bowel sounds (BSs) changed before, immediately after and 3 h after general anesthesia, and whether these changes in BSs are an effective indicator of intestinal function and an accurate guide for postoperative feeding. Methods We randomly selected 26 inpatients and collected three sets of 5-min continuous BS data before the operation (Pre-op), immediately after the operation (Pro-op) and 3 h after the operation (3 h-Pro-op) for each patient. Then, the linear and nonlinear characteristic values (CVs) of each effective bowel sound were extracted and paired t tests and rank-sum tests were used to evaluate the changes in the BSs. Results The differences in CVs, between Pre-op and Pro-op, as well as between Pro-op and 3 h-Pro-op, were statistically significant (p < 0.05). However, there are no statistically significant differences between all the CVs between Pre-op and 3 h-Pro-op (p > 0.05). Conclusion BSs change before and after general anesthesia. Furthermore, the BSs are weakened due to general anesthesia and recover to the pre-op state 3 h later. Therefore, the BSs can be an indicator of intestinal function under general anesthesia, so as to provide guidance for postoperative feeding, which is of considerable clinical significance.
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spelling doaj.art-134dff1b6ec34adeb48d9a6f7ed6b82d2022-12-21T22:25:30ZengBMCBioMedical Engineering OnLine1475-925X2020-07-0119111310.1186/s12938-020-00805-zChanges in bowel sounds of inpatients undergoing general anesthesiaGuojing Wang0Mingjun Wang1Hongyun Liu2Suping Zhao3Lu Liu4Weidong Wang5Key Laboratory of Biomedical Engineering and Translational Medicine, Ministry of Industry and Information Technology, Chinese PLA General HospitalAnesthesia and Operation Center, Chinese PLA General HospitalKey Laboratory of Biomedical Engineering and Translational Medicine, Ministry of Industry and Information Technology, Chinese PLA General HospitalCollege of Otolaryngology Head and Neck Surgery, Chinese PLA General HospitalCollege of Otolaryngology Head and Neck Surgery, Chinese PLA General HospitalKey Laboratory of Biomedical Engineering and Translational Medicine, Ministry of Industry and Information Technology, Chinese PLA General HospitalAbstract Background General anesthesia can affect intestinal function, but there is no objective, practical and effective indicator to evaluate the inhibition and recovery of intestinal function. The main objectives of this study were to assess whether bowel sounds (BSs) changed before, immediately after and 3 h after general anesthesia, and whether these changes in BSs are an effective indicator of intestinal function and an accurate guide for postoperative feeding. Methods We randomly selected 26 inpatients and collected three sets of 5-min continuous BS data before the operation (Pre-op), immediately after the operation (Pro-op) and 3 h after the operation (3 h-Pro-op) for each patient. Then, the linear and nonlinear characteristic values (CVs) of each effective bowel sound were extracted and paired t tests and rank-sum tests were used to evaluate the changes in the BSs. Results The differences in CVs, between Pre-op and Pro-op, as well as between Pro-op and 3 h-Pro-op, were statistically significant (p < 0.05). However, there are no statistically significant differences between all the CVs between Pre-op and 3 h-Pro-op (p > 0.05). Conclusion BSs change before and after general anesthesia. Furthermore, the BSs are weakened due to general anesthesia and recover to the pre-op state 3 h later. Therefore, the BSs can be an indicator of intestinal function under general anesthesia, so as to provide guidance for postoperative feeding, which is of considerable clinical significance.http://link.springer.com/article/10.1186/s12938-020-00805-zBowel soundsGeneral anesthesiaIntestinal function
spellingShingle Guojing Wang
Mingjun Wang
Hongyun Liu
Suping Zhao
Lu Liu
Weidong Wang
Changes in bowel sounds of inpatients undergoing general anesthesia
BioMedical Engineering OnLine
Bowel sounds
General anesthesia
Intestinal function
title Changes in bowel sounds of inpatients undergoing general anesthesia
title_full Changes in bowel sounds of inpatients undergoing general anesthesia
title_fullStr Changes in bowel sounds of inpatients undergoing general anesthesia
title_full_unstemmed Changes in bowel sounds of inpatients undergoing general anesthesia
title_short Changes in bowel sounds of inpatients undergoing general anesthesia
title_sort changes in bowel sounds of inpatients undergoing general anesthesia
topic Bowel sounds
General anesthesia
Intestinal function
url http://link.springer.com/article/10.1186/s12938-020-00805-z
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