Anesthetic drugs & techniques

Impact of mild hypo- and hyperventilation on cerebral oxygen supply during general anesthesia

Perioper Med (Lond)Published Randomised crossover study

An erratum to this article was published (Perioper Med (Lond), 30 Apr 2026 ↗)

Authors' conclusion

Even mild hypoventilation increased rSO2 compared to mild hyperventilation and this difference occurred independent of age.

Study context

Population
Patients under GA before the start of surgery
Participants
78 participants
Comparison
YP vs OP
Primary endpoint
Difference in rSO2 (near-infrared spectroscopy (NIRS)) between hypo- and hyperventilation, compared between the two age groups
Follow-up
15 min
Methodological detailsrandomised sequence, two age groups, Standardised anaesthetic management
  • Randomised sequence
  • Two age groups
  • Standardised anaesthetic management

Primary result

As reported in the abstract

Δ rSO2 (hypo- vs hyperventilation)

YP

6

SD 3 · %

OP

6

SD 3 · %

P = 0.732

Further findings

rSO2, hypoventilation vs hyperventilation (YP) · 15 min

rSO2 74 ± 4% after hypoventilation vs 68 ± 6% during hyperventilation (p < 0.001)

rSO2, hypoventilation vs hyperventilation (OP) · 15 min

rSO2 71 ± 5% vs 65 ± 6% (p < 0.001)

Original publication

Impact of mild hypo- and hyperventilation on cerebral oxygen supply during general anesthesia. Perioper Med (Lond). Published 17 March 2025. doi:10.1186/s13741-025-00517-9

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