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Perioperative hyperoxia: perhaps a malady in disguise
1Istanbul University, Cerrahpasa Medical School, Department of Anesthesiology and Reanimation, Turkey.
Romanian Journal of Anaesthesia and Intensive Care
|September 16, 2017
Summary
Liberal use of oxygen during perioperative care is controversial. High oxygen concentrations may harm patients by causing hemodynamic changes, oxidative stress, and increased mortality, warranting caution for anesthesiologists.
Area of Science:
- Medical element applications
- Anesthesiology
- Critical care medicine
Background:
- Oxygen is vital in medical procedures, particularly perioperative care.
- Its liberal administration is debated due to potential adverse effects.
- High oxygen concentrations are sometimes used to prevent surgical site infections.
Purpose of the Study:
- To review the literature on high oxygen concentrations during anesthesia.
- To alert anesthesiologists to potential harmful effects.
- To discuss the controversy surrounding liberal oxygen use.
Main Methods:
- Literature review
- Analysis of existing studies on oxygen administration
- Synthesis of findings regarding perioperative and intensive care
Main Results:
- High oxygen concentrations may lead to hemodynamic changes.
- Altered microcirculation and increased oxidative stress are potential risks.
- In intensive care, high oxygen is linked to increased mortality in specific patient groups.
Conclusions:
- The liberal use of oxygen during perioperative care requires careful consideration.
- Anesthesiologists should be aware of the potential detrimental effects.
- Further research is needed to establish optimal oxygen administration protocols.
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