TY - JOUR
T1 - Oxygenation of the critically ill in selected intensive care units in the UK: are we usual?
AU - Post, Benjamin
AU - Palmer, Edward
AU - Harris, Steve
AU - Singer, Mervyn
AU - Martin, Daniel
PY - 2020/9
Y1 - 2020/9
N2 - Recent data suggest a conservative approach to oxygen use in acutely unwell patients could be beneficial compared to more liberal use; guidance also suggests oxygen saturation (SpO2) should not exceed 96-98% in those receiving oxygen. Using data from 12 English intensive
care units (ICUs), we demonstrated that in 29,657 patient episodes the average SpO2 was 96.2% and 97.2% for medical and surgical patients, respectively. Furthermore, 61% and 23% of patients receiving supplemental oxygen spent at least half their time in ICU with SpO2 readings >96% and >98% respectively. Patients managed on English ICUs tend to have a higher SpO2 than has been recommended for non-critically ill, acutely unwell patients.
AB - Recent data suggest a conservative approach to oxygen use in acutely unwell patients could be beneficial compared to more liberal use; guidance also suggests oxygen saturation (SpO2) should not exceed 96-98% in those receiving oxygen. Using data from 12 English intensive
care units (ICUs), we demonstrated that in 29,657 patient episodes the average SpO2 was 96.2% and 97.2% for medical and surgical patients, respectively. Furthermore, 61% and 23% of patients receiving supplemental oxygen spent at least half their time in ICU with SpO2 readings >96% and >98% respectively. Patients managed on English ICUs tend to have a higher SpO2 than has been recommended for non-critically ill, acutely unwell patients.
UR - https://pearl.plymouth.ac.uk/context/pms-research/article/1212/viewcontent/final_proof_accepted.pdf
U2 - 10.1016/j.bja.2020.06.033
DO - 10.1016/j.bja.2020.06.033
M3 - Article
SN - 0007-0912
VL - 125
SP - e277-e279
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
IS - 3
ER -