Pre-hospital invasive ventilation in patients with septic shock: Is hyperoxemia an unwanted company?

Time period of hyperoxemia is unknown from the study. [...]the ventilator management was left up to the discretion of emergency physician without any protocol driven strategy, which itself has inherent bias which can affect the fraction of oxygen concentrations (FiO2) used and arterial partial press...

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Veröffentlicht in:The American journal of emergency medicine 2019-03, Vol.37 (3), p.533-534
Hauptverfasser: Esquinas, Antonio M., Giovanni, Landoni, Karim, Habib M.R.
Format: Artikel
Sprache:eng
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Zusammenfassung:Time period of hyperoxemia is unknown from the study. [...]the ventilator management was left up to the discretion of emergency physician without any protocol driven strategy, which itself has inherent bias which can affect the fraction of oxygen concentrations (FiO2) used and arterial partial pressure of oxygen (PaO2). [...]the data of Jouffroy R, et al. are hypothesis generating for the time being and it would be useful for the scientific community to know the information regarding how many patients had conditions associated with ischemia/reperfusion injury, such as post-cardiac arrest or stroke etc. as they all determine the short and short and long term outcome as well as relations with hyperoxemia [5]. [...]monitoring gas exchange by pulse oximetry and capnography is easier and more general approach and even well feasible in patients with septic shock.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.07.015