Rational use of oxygen in medical disease and anesthesia

Current Opinion in Anaesthesiology
Christian S MeyhoffLars S Rasmussen

Abstract

Supplemental oxygen is often administered during anesthesia and in critical illness to treat hypoxia, but high oxygen concentrations are also given for a number of other reasons such as prevention of surgical site infection (SSI). The decision to use supplemental oxygen is, however, controversial, because of large heterogeneity in the reported results and emerging reports of side-effects. The aim of this article is to review the recent findings regarding benefits and harms of oxygen therapy in anesthesia and acute medical conditions. Large randomized trials have not found significant reductions in SSI with 80% oxygen during and after abdominal surgery and cesarean section. There is no documented benefit of hyperbaric oxygen treatment for acute ischemic stroke, and there is emerging data to suggest increased mortality with normobaric supplemental oxygen for myocardial infarction without heart failure. Survival and neurologic outcome seem to be adversely affected by hyperoxia in patients with return of spontaneous circulation after cardiac arrest. The benefits of supplemental oxygen are not yet confirmed, and new findings suggest that potential side-effects should be considered if the inspired oxygen concentration is increased ab...Continue Reading

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Related Concepts

Anesthesia Procedures
Anoxemia
Compression Pulmonary Atelectasis
Cardiovascular Diseases
Hyperbaric Oxygenation Therapy
Dioxygen
Oxygen Therapy Care
Postoperative Procedures
Surgical Wound Infection
Critical Illness

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