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Review
. 2023 May;72(5):342-347.
doi: 10.1007/s00101-023-01274-4. Epub 2023 Apr 21.

[Perioperative hyperoxia-More harmful than beneficial?]

[Article in German]
Johann Stuby  1 , Alexander Kaserer  2 , Sascha Ott  3   4   5 , Kurt Ruetzler  6   7 , Julian Rössler  6
Affiliations
Review

[Perioperative hyperoxia-More harmful than beneficial?]

[Article in German]
Johann Stuby et al. Anaesthesiologie. 2023 May.

Abstract
in English, German

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 review RESULTS: 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.

Zusammenfassung: HINTERGRUND: Die ideale Höhe der perioperativen Sauerstoffkonzentration ist kontrovers, und die bisherigen Studienresultate sind uneinheitlich.

Fragestellung: Heutiger Wissensstand über die potenziellen vor- und nachteiligen Effekte einer perioperativen Hyperoxie.

Material und methode: Narrativer Review der aktuellen Literatur.

Ergebnisse: Die perioperative Hyperoxie führt wahrscheinlich nicht zu einem vermehrten Auftreten von Atelektasen, pulmonalen- bzw. kardiovaskulären Komplikationen oder einer Mortalitätszunahme. Vorteilhafte Effekte wie die Reduktion chirurgischer Wundinfekte oder postoperativer Übelkeit und Erbrechen sind kaum nachweisbar. Entsprechend dem heutigen Wissensstand ist es empfehlenswert, ausgenommen kritischer Phasen wie Notfallsituationen oder Ein- und Ausleitung einer Anästhesie, eine perioperative Hyperoxie zu vermeiden und stattdessen eine Normoxie anzustreben.

Keywords: Anesthesia; FIO2; Oxygen; Postoperative complications; Surgical site infection.

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References

Literatur

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