Perioperative medicine & outcomes

Individual FiO2 guided by SPO2 prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

The use of iFiO2 during operation significantly reduces the LUS and pulmonary atelectasis in patients undergoing laparoscopic colorectal surgery under general anesthesia.

Study context

Population
Inpatients undergoing elective laparoscopic colorectal surgery, single tertiary care hospital in China, August 2021–May 2022
Participants
84 inpatients
Comparison
Individualised FiO2 based on physiological SpO2 vs fixed 60% FiO2
Primary endpoint
Lung ultrasound score (LUS)
Follow-up
30 min after extubation
Methodological detailssingle-centre, prospective
  • Single-centre
  • Prospective

Primary result

As reported in the abstract

LUS

Individualized fraction of inspired oxygen (iFiO2)

5

as printed [ , ] 4–7

fFiO2

8

as printed [ , ] 4–10

P = 0.03

Secondary outcomes

Significant atelectasis (LUS criterion)

P = 0.025

PaO2, A-aDO2 and Qs/Qt · End of surgery

Significantly reduced in iFiO2 vs fFiO2

Original publication

Individual FiO2 guided by SPO2 prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial. J Clin Anesth. Published 26 December 2024. doi:10.1016/j.jclinane.2024.111732

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.