Perioperative hyperoxia-More harmful than beneficial?

被引：1

作者：

Stuby, Johann ^{[1
]}

Kaserer, Alexander ^{[1
]}

Ott, Sascha ^{[2
,3
,4
]}

Ruetzler, Kurt ^{[5
,6
]}

Rossler, Julian ^{[5
]}

机构：

[1] Univ Spital Zurich, Inst Anasthesiol, CH-8091 Zurich, Switzerland

[2] Deutsch Herzzentrum Berlin, Klin Kardioanasthesiol & Intens Med, Berlin, Germany

[3] Charite, Klin Kardioanasthesiol & Intens Med, Berlin, Germany

[4] DZHK Deutsch Zent Herz Kreislauf Forsch, Berlin, Germany

[5] Cleveland Clin, Anesthesiol Inst, Dept Outcomes Res, Cleveland, OH 44106 USA

[6] Cleveland Clin, Anesthesiol Inst, Dept Gen Anesthesia, Cleveland, OH 44106 USA

来源：

ANAESTHESIOLOGIE | 2023年 / 72卷 / 05期

关键词：

Anesthesia; Oxygen; FIO2; Postoperative complications; Surgical site infection; SURGICAL SITE INFECTION; INSPIRATORY OXYGEN FRACTION; LONG-TERM MORTALITY; ACUTELY ILL ADULTS; SUPPLEMENTAL OXYGEN; INSPIRED OXYGEN; POSTOPERATIVE NAUSEA; ABDOMINAL-SURGERY; 30-35-PERCENT FRACTION; INTRAOPERATIVE OXYGEN;

D O I：

10.1007/s00101-023-01274-4

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background The ideal perioperative oxygen concentration is controversial and study results are inconsistent.Objective Current knowledge on the beneficial and adverse effects of perioperative hyperoxia.Material and methods Narrative reviewResults Perioperative hyperoxia is unlikely to increase the incidence of atelectasis, pulmonary or cardiovascular complications or mortality. Few and small potential beneficial effects, such as reduction of surgical wound infections or postoperative nausea and vomiting have been demonstrated. According to the current state of evidence, it is recommended to avoid perioperative hyperoxia and to aim for normoxia instead.

引用

页码：342 / 347

页数：6

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