Anesthetic drugs & techniques

Assessing the incidence of hyperoxia and the effectiveness of Oxygen Reserve Index-guided FiO2 titration in hyperoxia prevention

Perioper Med (Lond)Published Randomised controlled trial

Authors' conclusion

The combined use of SpO2 and ORi has been demonstrated to successfully guide FiO2 titration for optimal oxygenation and reduce hyperoxemia.

Study context

Population
Patients undergoing major abdominal surgery
Comparison
SpO2 + ORi-guided FiO2 titration vs control
Methodological detailsprospective, single-centre, Health Sciences University İzmir Tepecik Training and Research Hospital, September 1, 2020, to December 1, 2022
  • Prospective
  • Single-centre
  • Health Sciences University İzmir Tepecik Training and Research Hospital, September 1, 2020, to December 1, 2022

Primary result

As reported in the abstract

Moderate hyperoxemia · 3rd hour

Control

31.6%

Positive linear relationship between PaO2 and ORi in the ORi + SpO2 group (r = 0.758)
P < 0.001

Further findings

Correlation between PaO2 and ORi (SpO2 + ORi)

Positive linear relationship of 75.8% (r = 0.758), p < 0.001

PaO2 over time (SpO2 + ORi)

PaO2 decreased significantly over time with FiO2 titration, p < 0.001

Original publication

Assessing the incidence of hyperoxia and the effectiveness of Oxygen Reserve Index-guided FiO2 titration in hyperoxia prevention. Perioper Med (Lond). Published 7 October 2024. doi:10.1186/s13741-024-00456-x

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