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21.04.2023 | Allgemeinanästhesie | Allgemeinanästhesie

Die perioperative Hyperoxie – mehr Schaden als Nutzen?

verfasst von: Dr. med. Johann Stuby, PD Dr. med. Alexander Kaserer, Dr. med. Sascha Ott, Prof. Dr. med. Kurt Ruetzler, Dr. med. Julian Rössler

Erschienen in: Die Anaesthesiologie | Ausgabe 5/2023

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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.

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Titel: Die perioperative Hyperoxie – mehr Schaden als Nutzen?
verfasst von: Dr. med. Johann Stuby
PD Dr. med. Alexander Kaserer
Dr. med. Sascha Ott
Prof. Dr. med. Kurt Ruetzler
Dr. med. Julian Rössler
Publikationsdatum: 21.04.2023
Verlag: Springer Medizin
Schlagwörter: Allgemeinanästhesie
Postoperative nausea and vomiting
Perioperative Herzrhythmusstörungen
Erschienen in: Die Anaesthesiologie / Ausgabe 5/2023
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-023-01274-4

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Zusammenfassung

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Material und Methode

Ergebnisse

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